TIFFANY A CONWAY Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004195

License Status

CANCELLED

Business

First Name

TIFFANY

Middle

Last Name

CONWAY

Business Name

TIFFANY A CONWAY

Original Issue Date

08/13/2019

Effective Date

08/13/2019

Expiration Date

08/13/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

08/14/2019