TIMMY D CONNER JR Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004155

License Status

EXPIRED

Business

First Name

TIMMY

Middle

Last Name

CONNER

Suffix

Business Name

TIMMY D CONNER JR

Original Issue Date

01/18/2019

Effective Date

01/18/2019

Expiration Date

01/18/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

03/05/2020