APRIL J PUCKETT Nursing Home Administrator License verification

APRIL J PUCKETT

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003651

License Status

EXPIRED

Business

First Name

APRIL

Middle

Last Name

PUCKETT

Business Name

APRIL J PUCKETT

Original Issue Date

05/03/2012

Effective Date

05/03/2012

Expiration Date

05/03/2013

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018

Case Number

2012010754

Action

Refuse To Renew

Discipline Start Date

04/15/2014

Discipline Reason

after a Illinois Department of Public Health survey indicating that deficiencies were found on September 18, 2012 at Elmwood Nursing & Rehab Center, Maryville, IL.