TIFFANY R GREEN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011132

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

GREEN

Business Name

TIFFANY R GREEN

Original Issue Date

06/27/2014

Effective Date

12/01/2025

Expiration Date

11/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

12/01/2025