LEONARD EDWARD BUCZKOWSKI Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003415

License Status

EXPIRED

Business

First Name

LEONARD

Middle

EDWARD

Last Name

BUCZKOWSKI

Business Name

LEONARD EDWARD BUCZKOWSKI

Original Issue Date

06/04/2009

Effective Date

06/04/2009

Expiration Date

06/04/2010

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018