GARY L TINERVIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004588

License Status

INACTIVE

Business

First Name

GARY L

Last Name

TINERVIN

Business Name

GARY L TINERVIN

Original Issue Date

10/22/1993

Expiration Date

11/30/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005