TAMMY A BOAZ Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004505

License Status

EXPIRED

Business

First Name

TAMMY

Middle

Last Name

BOAZ

Business Name

TAMMY A BOAZ

Original Issue Date

01/30/2023

Effective Date

01/30/2023

Expiration Date

01/30/2024

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/09/2024