HEATHER CHRISTINE BURKLOW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003820

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

CHRISTINE

Last Name

BURKLOW

Business Name

HEATHER CHRISTINE BURKLOW

Original Issue Date

09/30/2014

Effective Date

09/30/2015

Expiration Date

09/30/2016

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/09/2017