JACK E ENDELEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004510

License Status

NOT RENEWED

Business

First Name

JACK E

Last Name

ENDELEY

Business Name

JACK E ENDELEY

Original Issue Date

06/15/1993

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/11/2005