Paul Allen Klockenga
InactiveIllinois license 044001461
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001461
- Status
- Inactive
- First issued
- July 20, 1976
- Expired
- November 30, 1999
- License holder
- Paul Allen Klockenga
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Ever disciplined
- Yes
- Discipline case
- 1996004783
- Discipline action
- Probation
- Discipline reason
- Failed to submit sufficient proof of continuing education hours during a Department audit.
- Discipline dates
- 09/30/1996 to 09/29/1997
- Discipline action
- Fine
- Discipline dates
- 09/30/1996
Contact
Daytona Beach, FL 32119
Florida County