WINNIE W JACOBS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001919

License Status

INACTIVE

Business

First Name

WINNIE W

Last Name

JACOBS

Business Name

WINNIE W JACOBS

Original Issue Date

06/22/1978

Effective Date

10/10/2001

Expiration Date

11/30/2001

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005