LEROY J EICKMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005847

License Status

NOT RENEWED

Business

First Name

LEROY

Middle

Last Name

EICKMAN

Business Name

LEROY J EICKMAN

Original Issue Date

08/23/2000

Effective Date

11/14/2003

Expiration Date

11/30/2005

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/09/2006