TRACY A HEIDENREICH - Nursing Home Administrator License in Illinois | # 045004177

TRACY A HEIDENREICH

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004177

License Status

EXPIRED

Business

N

First Name

TRACY

Middle

A

Last Name

HEIDENREICH

Business Name

TRACY A HEIDENREICH

Original Issue Date

04/22/2019

Effective Date

04/22/2019

Expiration Date

04/22/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020