BRANDT R VANTINE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004396

License Status

EXPIRED

Business

First Name

BRANDT

Middle

Last Name

VANTINE

Business Name

BRANDT R VANTINE

Original Issue Date

11/29/2021

Effective Date

11/29/2021

Expiration Date

11/29/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

02/15/2023