TRACI L HARRIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010247

License Status

INACTIVE

Business

First Name

TRACI

Middle

Last Name

HARRIS

Business Name

TRACI L HARRIS

Original Issue Date

09/05/2007

Effective Date

11/25/2021

Expiration Date

11/30/2023

City

GIFFORD

State

Zip

61847

County

CHAMPAIGN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

10/27/2023