TRACI DIANE TUCKER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004990

License Status

INACTIVE

Business

First Name

TRACI DIANE

Last Name

TUCKER

Business Name

TRACI DIANE TUCKER

Original Issue Date

10/02/1995

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

EVERGREEN

State

Zip

80439

County

WILL

Ever Disciplined

LastModifiedDate

09/05/2007