CATHERINE ANN TADLOCK Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003430

License Status

EXPIRED

Business

First Name

CATHERINE

Middle

ANN

Last Name

TADLOCK

Business Name

CATHERINE ANN TADLOCK

Original Issue Date

07/23/2009

Effective Date

07/23/2010

Expiration Date

12/02/2010

City

SPARTA

State

Zip

62286

County

RANDOLPH

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018