TRACEY ANN PENNY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003774

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

ANN

Last Name

PENNY

Business Name

TRACEY ANN PENNY

Original Issue Date

01/22/2014

Effective Date

01/22/2014

Expiration Date

01/22/2015

City

LINCOLN

State

Zip

62656

County

LOGAN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

05/18/2015