TINA L HOLDER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001950

License Status

NOT RENEWED

Business

First Name

TINA L

Last Name

HOLDER

Business Name

TINA L HOLDER

Original Issue Date

12/08/1990

Expiration Date

11/30/1991

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/31/2005