JACQUELINE M DE ROUSSE - Nursing Home Administrator License in Wisconsin | # 044004374

JACQUELINE M DE ROUSSE

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004374

License Status

INACTIVE

Business

N

First Name

JACQUELINE

Middle

M

Last Name

DE ROUSSE

Business Name

JACQUELINE M DE ROUSSE

Original Issue Date

08/31/1992

Effective Date

12/01/2005

Expiration Date

11/30/2007

State

WI

Ever Disciplined

N

LastModifiedDate

09/05/2007