KENNETH G JACKSON - Nursing Home Administrator License in Illinois | # 045002254

KENNETH G JACKSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002254

License Status

NOT RENEWED

Business

N

First Name

KENNETH G

Last Name

JACKSON

Business Name

KENNETH G JACKSON

Original Issue Date

08/15/1994

Expiration Date

05/01/1995

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005