STEPHANIE D RUCKER - Nursing Home Administrator License in Illinois | # 045003702

STEPHANIE D RUCKER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003702

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

D

Last Name

RUCKER

Business Name

STEPHANIE D RUCKER

Original Issue Date

02/05/2013

Effective Date

02/05/2013

Expiration Date

02/05/2014

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

08/12/2014