BOBBIE JO DECLERCK Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004588

License Status

ACTIVE

Business

First Name

BOBBIE

Middle

Last Name

DECLERCK

Business Name

BOBBIE JO DECLERCK

Original Issue Date

02/23/2024

Effective Date

02/23/2025

Expiration Date

02/23/2026

City

STONINGTON

State

Zip

62567

Ever Disciplined

LastModifiedDate

04/30/2025