TINA L HOLDER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004141

License Status

INACTIVE

Business

First Name

TINA L

Last Name

HOLDER

Business Name

TINA L HOLDER

Original Issue Date

07/01/1991

Expiration Date

11/30/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/27/2005