STACY A BRENTON Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010151

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

BRENTON

Business Name

STACY A BRENTON

Original Issue Date

11/17/2006

Effective Date

11/05/2025

Expiration Date

11/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/05/2025