WILLIAM A BROTZMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004299

License Status

NOT RENEWED

Business

First Name

WILLIAM A

Last Name

BROTZMAN

Business Name

WILLIAM A BROTZMAN

Original Issue Date

03/16/1992

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/11/2005