JERRY ALLEN ROSS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001535

License Status

INACTIVE

Business

First Name

JERRY ALLEN

Last Name

ROSS

Business Name

JERRY ALLEN ROSS

Original Issue Date

09/21/1976

Expiration Date

11/30/1985

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/27/2005