DIANNA G BLACKKETTER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005174

License Status

INACTIVE

Business

First Name

DIANNA G

Last Name

BLACKKETTER

Business Name

DIANNA G BLACKKETTER

Original Issue Date

09/12/1996

Effective Date

01/26/2010

Expiration Date

11/30/2011

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

09/07/2011