NICHOLAS D STAMATAKOS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006272

License Status

INACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

STAMATAKOS

Business Name

NICHOLAS D STAMATAKOS

Original Issue Date

02/05/2004

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

SLINGER

State

Zip

53086

County

LAKE

Ever Disciplined

LastModifiedDate

09/05/2007