ANDREW DAVID BUFFENBARGER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003098

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

DAVID

Last Name

BUFFENBARGER

Business Name

ANDREW DAVID BUFFENBARGER

Original Issue Date

09/07/2005

Effective Date

09/07/2005

Expiration Date

09/07/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/03/2006