TAMMY E MUTKA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005091

License Status

NOT RENEWED

Business

First Name

TAMMY E

Last Name

MUTKA

Business Name

TAMMY E MUTKA

Original Issue Date

03/16/1996

Effective Date

02/11/2022

Expiration Date

11/30/2023

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/16/2024