ANNA M BRACKENBUSH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001617

License Status

NOT RENEWED

Business

First Name

ANNA M

Last Name

BRACKENBUSH

Business Name

ANNA M BRACKENBUSH

Expiration Date

04/21/1989

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/31/2005