DENISE A LUCKETT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001459

License Status

NOT RENEWED

Business

First Name

DENISE A

Last Name

LUCKETT

Business Name

DENISE A LUCKETT

Expiration Date

12/22/1987

City

SHAWNEETOWN

State

Zip

62984

County

GALLATIN

Ever Disciplined

LastModifiedDate

05/31/2005