LUCINDA S BRAZELTON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002927

License Status

CANCELLED

Business

First Name

LUCINDA

Middle

Last Name

BRAZELTON

Business Name

LUCINDA S BRAZELTON

Original Issue Date

02/26/2003

Effective Date

05/28/2004

Expiration Date

02/26/2004

City

CHRISMAN

State

Zip

61924

County

EDGAR

Ever Disciplined

LastModifiedDate

05/31/2005