GARTH E BROKAW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001205

License Status

NOT RENEWED

Business

First Name

GARTH E

Last Name

BROKAW

Business Name

GARTH E BROKAW

Original Issue Date

01/07/1975

Effective Date

12/22/2003

Expiration Date

11/30/2005

City

ROCHESTER

State

Zip

14619

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/09/2006