ADAM M TABOR Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010616

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

TABOR

Business Name

ADAM M TABOR

Original Issue Date

07/01/2010

Effective Date

02/14/2022

Expiration Date

11/30/2023

City

ELKHART

State

Zip

62634

County

LOGAN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

04/16/2024