TERRA LYNN POTOCKI Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001734

License Status

NOT RENEWED

Business

First Name

TERRA LYNN

Last Name

POTOCKI

Business Name

TERRA LYNN POTOCKI

Original Issue Date

08/24/1977

Expiration Date

11/30/1999

City

MARION

State

Zip

62959

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/27/2005