THOMAS PATRICK OFALLON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001302

License Status

INACTIVE

Business

First Name

THOMAS PATRICK

Last Name

OFALLON

Business Name

THOMAS PATRICK OFALLON

Original Issue Date

06/03/1975

Effective Date

09/04/2019

Expiration Date

02/28/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/23/2021