JACQUELINE LEE MASON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001382

License Status

NOT RENEWED

Business

First Name

JACQUELINE LEE

Last Name

MASON

Business Name

JACQUELINE LEE MASON

Original Issue Date

12/31/1975

Effective Date

10/29/2003

Expiration Date

11/30/2005

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/09/2006