THAD F BROCKETT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004720

License Status

NOT RENEWED

Business

First Name

THAD F

Last Name

BROCKETT

Business Name

THAD F BROCKETT

Original Issue Date

06/10/1994

Effective Date

01/16/2024

Expiration Date

11/30/2025

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/05/2026