REV JACK D THARP - Nursing Home Administrator License in Illinois | # 044000799

REV JACK D THARP

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000799

License Status

NOT RENEWED

Business

N

First Name

REV JACK D

Last Name

THARP

Business Name

REV JACK D THARP

Original Issue Date

03/16/1972

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005