TRAVAS J TUCKER Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011720

License Status

ACTIVE

Business

First Name

TRAVAS

Middle

Last Name

TUCKER

Business Name

TRAVAS J TUCKER

Original Issue Date

11/12/2019

Effective Date

09/18/2025

Expiration Date

11/30/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/18/2025