BRENDA LEE BARRASS CULLUM Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004140

License Status

EXPIRED

Business

First Name

BRENDA

Middle

LEE

Last Name

BARRASS CULLUM

Business Name

BRENDA LEE BARRASS CULLUM

Original Issue Date

10/30/2018

Effective Date

10/30/2019

Expiration Date

10/30/2020

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/30/2018