KARL KRUCKEBERG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003303

License Status

NOT RENEWED

Business

First Name

KARL

Last Name

KRUCKEBERG

Business Name

KARL KRUCKEBERG

Original Issue Date

12/16/1986

Expiration Date

11/30/1989

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/27/2005