TROY DEAN CULBERTSON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003967

License Status

CANCELLED

Business

First Name

TROY

Middle

DEAN

Last Name

CULBERTSON

Business Name

TROY DEAN CULBERTSON

Original Issue Date

09/21/2016

Effective Date

09/21/2016

Expiration Date

09/21/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/20/2016