MARY B COCKRUM Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001571

License Status

INACTIVE

Business

First Name

MARY B

Last Name

COCKRUM

Business Name

MARY B COCKRUM

Original Issue Date

11/15/1976

Expiration Date

11/30/1991

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/27/2005