ANTHONY L JACOBS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002337

License Status

NOT RENEWED

Business

First Name

ANTHONY L

Last Name

JACOBS

Business Name

ANTHONY L JACOBS

Original Issue Date

02/04/1981

Expiration Date

11/30/1995

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/27/2005