NICOLE MARIE HIBBARD Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003795

License Status

EXPIRED

Business

First Name

NICOLE

Middle

MARIE

Last Name

HIBBARD

Business Name

NICOLE MARIE HIBBARD

Original Issue Date

04/16/2014

Effective Date

05/01/2015

Expiration Date

05/01/2016

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018