TIFFANY R GREEN - Nursing Home Administrator License in Illinois | # 045003767

TIFFANY R GREEN

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003767

License Status

CANCELLED

Business

N

First Name

TIFFANY

Middle

R

Last Name

GREEN

Business Name

TIFFANY R GREEN

Original Issue Date

12/30/2013

Effective Date

12/30/2013

Expiration Date

12/30/2014

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

03/13/2015