License holder summary

KEITH EUGENE HACKENBERG is a Nursing Home Administrator licensed to practice in Pennsylvania. The address on file for KEITH EUGENE HACKENBERG is RIVERSIDE PA 17868. This licensed professional license is not current. The license was granted 06/03/1996 and expired on 06/30/1998.

Pennsylvania

Department of State

KEITH EUGENE HACKENBERG
Nursing Home Administrator
License number
NH004538L
Date granted
06/03/1996
Date expires
06/30/1998
Class
Nursing Home Administrator
Status
Expired
Address
RIVERSIDE PA 17868
palicensing.org
ID 16916868
LAST UPDATED 2024-05-02 12:58:37 UTC

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