TANYA D FREDERICKS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003866

License Status

EXPIRED

Business

First Name

TANYA

Middle

Last Name

FREDERICKS

Business Name

TANYA D FREDERICKS

Original Issue Date

08/10/2015

Effective Date

08/10/2016

Expiration Date

08/10/2017

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018