TRACY A HEIDENREICH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004177

License Status

EXPIRED

Business

First Name

TRACY

Middle

Last Name

HEIDENREICH

Business Name

TRACY A HEIDENREICH

Original Issue Date

04/22/2019

Effective Date

04/22/2019

Expiration Date

04/22/2020

City

ELIZABETH

State

Zip

61028

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

11/19/2020