BRENT M HOFFMAN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003318

License Status

EXPIRED

Business

First Name

BRENT

Middle

Last Name

HOFFMAN

Business Name

BRENT M HOFFMAN

Original Issue Date

02/22/2008

Effective Date

02/22/2008

Expiration Date

02/22/2009

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018