TRAVAS J TUCKER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004048

License Status

EXPIRED

Business

First Name

TRAVAS

Middle

Last Name

TUCKER

Business Name

TRAVAS J TUCKER

Original Issue Date

09/25/2017

Effective Date

09/25/2017

Expiration Date

09/25/2018

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

12/04/2018