NATHAN D WOLF Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010813

License Status

INACTIVE

Business

First Name

NATHAN

Middle

Last Name

WOLF

Business Name

NATHAN D WOLF

Original Issue Date

01/06/2012

Effective Date

11/27/2017

Expiration Date

11/30/2019

City

ST JOHN

State

Zip

46373

County

INDIANA

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/04/2019