TAMARA RENEE STEPHENS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010604

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

RENEE

Last Name

STEPHENS

Business Name

TAMARA RENEE STEPHENS

Original Issue Date

05/13/2010

Effective Date

05/13/2010

Expiration Date

11/30/2011

City

CHARLESTON

State

Zip

61920

County

COLES

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/05/2012