TABATHA L SIDES Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004109

License Status

EXPIRED

Business

First Name

TABATHA

Middle

Last Name

SIDES

Business Name

TABATHA L SIDES

Original Issue Date

05/04/2018

Effective Date

05/04/2018

Expiration Date

05/04/2019

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

07/18/2019