License holder summary

MAX EUGENE KNICKERBOCKER JR is a Nursing Home Administrator licensed to practice in Pennsylvania. The address on file for MAX EUGENE KNICKERBOCKER JR is CLARKSDALE MS 38614. This licensed professional license is not current. The license was granted 11/22/1996 and expired on 06/30/1998.

Pennsylvania

Department of State

MAX EUGENE KNICKERBOCKER JR
Nursing Home Administrator
License number
NH004657L
Date granted
11/22/1996
Date expires
06/30/1998
Class
Nursing Home Administrator
Status
Inactive
Address
CLARKSDALE MS 38614
palicensing.org
ID 16916971
LAST UPDATED 2024-03-01 16:55:12 UTC

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