STEVE R AXELBAUM Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002999

License Status

EXPIRED

Business

First Name

STEVE

Middle

Last Name

AXELBAUM

Business Name

STEVE R AXELBAUM

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

01/29/2005

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

01/04/2018