JEFFERY S DAVIS - Nursing Home Administrator License in Illinois | # 045002511

JEFFERY S DAVIS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002511

License Status

NOT RENEWED

Business

N

First Name

JEFFERY

Middle

S

Last Name

DAVIS

Business Name

JEFFERY S DAVIS

Original Issue Date

12/03/1997

Expiration Date

10/26/1998

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005