DERRICK E CROCKETT Nursing Home Administrator License verification

DERRICK E CROCKETT

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003825

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

CROCKETT

Business Name

DERRICK E CROCKETT

Original Issue Date

11/19/2014

Effective Date

11/19/2014

Expiration Date

11/19/2015

City

NEW ATHENS

State

Zip

62264

County

SAINT CLAIR

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

08/07/2018

Case Number

2015007752

Action

Refuse To Renew

Discipline Start Date

07/30/2018

Discipline Reason

after failed to change the care plan for a resident with uncontrolled diabetes after said resident experienced multiple falls. Respondent thereby engaged in unprofessional conduct.