SUE L PROSTKO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010075

License Status

NOT RENEWED

Business

First Name

SUE

Middle

Last Name

PROSTKO

Business Name

SUE L PROSTKO

Original Issue Date

03/03/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/07/2010