BRUCE L VACA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002928

License Status

NOT RENEWED

Business

First Name

BRUCE L

Last Name

VACA

Business Name

BRUCE L VACA

Original Issue Date

12/18/1984

Effective Date

10/16/2019

Expiration Date

02/28/2022

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022