MARK S VANDERZEE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011500

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

VANDERZEE

Business Name

MARK S VANDERZEE

Original Issue Date

09/29/2017

Effective Date

09/10/2019

Expiration Date

02/28/2022

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

07/27/2022