ANNA M BRACKENBUSH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004012

License Status

NOT RENEWED

Business

First Name

ANNA M

Last Name

BRACKENBUSH

Business Name

ANNA M BRACKENBUSH

Original Issue Date

10/06/1990

Effective Date

01/25/2022

Expiration Date

11/30/2023

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

04/16/2024