THOMAS J STEPHENSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002081

License Status

INACTIVE

Business

First Name

THOMAS J

Last Name

STEPHENSON

Business Name

THOMAS J STEPHENSON

Original Issue Date

05/30/1979

Effective Date

01/22/2022

Expiration Date

11/30/2023

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

08/31/2023