JENNIFER M DIAZ Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003215

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

Last Name

DIAZ

Business Name

JENNIFER M DIAZ

Original Issue Date

12/21/2006

Effective Date

12/21/2006

Expiration Date

12/21/2007

City

TOLUCA

State

Zip

61369

County

MARSHALL

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018