RICHARD GENE BRACKEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001397

License Status

NOT RENEWED

Business

First Name

RICHARD GENE

Last Name

BRACKEN

Business Name

RICHARD GENE BRACKEN

Original Issue Date

04/08/1976

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/04/2008