EDMOND G TAVEIRNE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011283

License Status

INACTIVE

Business

First Name

EDMOND

Middle

Last Name

TAVEIRNE

Business Name

EDMOND G TAVEIRNE

Original Issue Date

10/29/2015

Effective Date

10/10/2017

Expiration Date

11/30/2019

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/04/2019