TANISHA LYNN MCCULLOUGH Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011496

License Status

ACTIVE

Business

First Name

TANISHA

Middle

LYNN

Last Name

MCCULLOUGH

Business Name

TANISHA LYNN MCCULLOUGH

Original Issue Date

09/18/2017

Effective Date

11/17/2025

Expiration Date

11/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2025