PHILLIP LEE BACHMAN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004508

License Status

CANCELLED

Business

First Name

PHILLIP

Middle

LEE

Last Name

BACHMAN

Business Name

PHILLIP LEE BACHMAN

Original Issue Date

02/03/2023

Effective Date

02/03/2023

Expiration Date

02/03/2024

City

GOODFIELD

State

Zip

61742

County

WOODFORD

Ever Disciplined

LastModifiedDate

02/03/2023