LUCINDA W SPIVEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003093

License Status

NOT RENEWED

Business

First Name

LUCINDA W

Last Name

SPIVEY

Business Name

LUCINDA W SPIVEY

Original Issue Date

08/05/2005

Effective Date

08/05/2005

Expiration Date

08/05/2006

City

ROSICLARE

State

Zip

62982

County

HARDIN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

08/05/2005