DEREK H BUCKLEY
Nursing Home Administrators at Conant St, Portage, WI

License number
Florida 4116
Issued Date
Aug 16, 1999
Effective Date
Oct 7, 2016
Expiration Date
Sep 30, 2014
Category
Health Care
Type
Nursing Home Administrator
Address
Address
519 W Conant St, Portage, WI 53901
Phone
(608) 662-8842
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.