TIFFANEE R PETERS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011318

License Status

INACTIVE

Business

First Name

TIFFANEE

Middle

Last Name

PETERS

Business Name

TIFFANEE R PETERS

Original Issue Date

01/27/2016

Effective Date

11/06/2017

Expiration Date

11/30/2019

City

SOUTH JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/04/2019