LACEY ANN MOFFITT Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011905

License Status

ACTIVE

Business

First Name

LACEY

Middle

ANN

Last Name

MOFFITT

Business Name

LACEY ANN MOFFITT

Original Issue Date

11/29/2021

Effective Date

10/31/2025

Expiration Date

11/30/2027

City

INA

State

Zip

62846

Ever Disciplined

LastModifiedDate

10/31/2025