JACK LYNNE ANN PETTITT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000658

License Status

NOT RENEWED

Business

First Name

JACK LYNNE ANN

Last Name

PETTITT

Business Name

JACK LYNNE ANN PETTITT

Expiration Date

07/01/1981

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

05/27/2005