M DEBORAH JACKSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003879

License Status

NOT RENEWED

Business

First Name

M DEBORAH

Last Name

JACKSON

Business Name

M DEBORAH JACKSON

Original Issue Date

06/05/1990

Effective Date

10/24/2019

Expiration Date

02/28/2022

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

07/27/2022