TRACEY M LONG - Nursing Home Administrator License in Illinois | # 045004006

TRACEY M LONG

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004006

License Status

CANCELLED

Business

N

First Name

TRACEY

Middle

M

Last Name

LONG

Business Name

TRACEY M LONG

Original Issue Date

03/01/2017

Effective Date

02/13/2017

Expiration Date

02/13/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/15/2018