AMANDA K VON BURG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003987

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

VON BURG

Business Name

AMANDA K VON BURG

Original Issue Date

12/19/2016

Effective Date

12/19/2016

Expiration Date

12/19/2017

City

ST ELMO

State

Zip

62458

Ever Disciplined

LastModifiedDate

04/10/2018