KEVIN J BROCKMANN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004188

License Status

CANCELLED

Business

First Name

KEVIN

Middle

Last Name

BROCKMANN

Business Name

KEVIN J BROCKMANN

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/24/2020

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/24/2019