LOLA C BROKEMOND Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001451

License Status

NOT RENEWED

Business

First Name

LOLA C

Last Name

BROKEMOND

Business Name

LOLA C BROKEMOND

Original Issue Date

07/20/1976

Expiration Date

11/30/1999

City

JACKSONVILLE

State

Zip

32218

County

FLORIDA

Ever Disciplined

LastModifiedDate

06/12/2005

Case Number

1998000201

Action

Suspension

Discipline Start Date

04/14/1999

Discipline Reason

Failing to comply with required continuing education hours.