GREGORY C TALLY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004283

License Status

INACTIVE

Business

First Name

GREGORY C

Last Name

TALLY

Business Name

GREGORY C TALLY

Original Issue Date

02/27/1992

Effective Date

10/10/2001

Expiration Date

11/30/2001

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/11/2005