JACKIE L VINCENT - Nursing Home Administrator License in Illinois | # 045002551

JACKIE L VINCENT

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002551

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

L

Last Name

VINCENT

Business Name

JACKIE L VINCENT

Original Issue Date

07/10/1998

Expiration Date

07/10/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005