TOMMY R PORTER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004411

License Status

EXPIRED

Business

First Name

TOMMY

Middle

Last Name

PORTER

Business Name

TOMMY R PORTER

Original Issue Date

02/23/2022

Effective Date

01/11/2024

Expiration Date

01/11/2025

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

07/10/2025