NATHAN JON HOFFMAN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004060

License Status

EXPIRED

Business

First Name

NATHAN

Middle

JON

Last Name

HOFFMAN

Business Name

NATHAN JON HOFFMAN

Original Issue Date

11/01/2017

Effective Date

11/01/2018

Expiration Date

11/01/2019

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

12/30/2019