JEANNETTE M DESHAW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004105

License Status

NOT RENEWED

Business

First Name

JEANNETTE M

Last Name

DESHAW

Business Name

JEANNETTE M DESHAW

Original Issue Date

05/18/1991

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005