MIRON TABIC Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005819

License Status

INACTIVE

Business

First Name

MIRON

Last Name

TABIC

Business Name

MIRON TABIC

Original Issue Date

06/21/2000

Effective Date

10/22/2019

Expiration Date

02/28/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2022