RAPHAEL CHRISTINE UTTERBACK Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006210

License Status

ACTIVE

Business

First Name

RAPHAEL

Middle

CHRISTINE

Last Name

UTTERBACK

Business Name

RAPHAEL CHRISTINE UTTERBACK

Original Issue Date

06/26/2003

Effective Date

11/05/2025

Expiration Date

11/30/2027

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/05/2025