SIDNEY DYKSTRA Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003518

License Status

EXPIRED

Business

First Name

SIDNEY

Last Name

DYKSTRA

Business Name

SIDNEY DYKSTRA

Original Issue Date

07/23/2010

Effective Date

06/24/2010

Expiration Date

06/24/2011

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/04/2018