ELLEN M TIERNEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003008

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

TIERNEY

Business Name

ELLEN M TIERNEY

Original Issue Date

03/08/2004

Effective Date

05/02/2005

Expiration Date

03/08/2005

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

05/31/2005