KENDEL M BROOKS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003862

License Status

NOT RENEWED

Business

First Name

KENDEL

Middle

Last Name

BROOKS

Business Name

KENDEL M BROOKS

Original Issue Date

08/04/2015

Effective Date

12/02/2016

Expiration Date

12/02/2017

City

PRAIRIE CITY

State

Zip

61470

County

MCDONOUGH

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

04/10/2018