DIANNA G BLACKKETTER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002332

License Status

NOT RENEWED

Business

First Name

DIANNA G

Last Name

BLACKKETTER

Business Name

DIANNA G BLACKKETTER

Original Issue Date

09/11/1995

Expiration Date

09/07/1996

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/31/2005