LUCINDA S BRAZELTON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006214

License Status

NOT RENEWED

Business

First Name

LUCINDA

Middle

Last Name

BRAZELTON

Business Name

LUCINDA S BRAZELTON

Original Issue Date

07/15/2003

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

01/23/2020