TIFFANY M JUSTICE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004016

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

JUSTICE

Business Name

TIFFANY M JUSTICE

Original Issue Date

03/28/2017

Effective Date

12/30/2016

Expiration Date

12/30/2017

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

04/10/2018