TRACEY A CROSS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004051

License Status

EXPIRED

Business

First Name

TRACEY

Middle

Last Name

CROSS

Business Name

TRACEY A CROSS

Original Issue Date

10/05/2017

Effective Date

09/25/2018

Expiration Date

10/05/2019

City

JONESBORO

State

Zip

62952

County

UNION

Ever Disciplined

LastModifiedDate

12/30/2019