KIM B TAVOR - Nursing Home Administrator License in Illinois | # 044011189

KIM B TAVOR

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011189

License Status

INACTIVE

Business

N

First Name

KIM

Middle

B

Last Name

TAVOR

Business Name

KIM B TAVOR

Original Issue Date

01/15/2015

Effective Date

10/11/2019

Expiration Date

11/30/2021

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

10/11/2019