TAMARA RENEE STEPHENS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003373

License Status

EXPIRED

Business

First Name

TAMARA

Middle

RENEE

Last Name

STEPHENS

Business Name

TAMARA RENEE STEPHENS

Original Issue Date

11/26/2008

Effective Date

11/26/2009

Expiration Date

05/22/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018