JANE A FORTH Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004619

License Status

ACTIVE

Business

First Name

JANE

Middle

Last Name

FORTH

Business Name

JANE A FORTH

Original Issue Date

12/02/1993

Effective Date

10/26/2025

Expiration Date

11/30/2027

City

XENIA

State

Zip

62899

County

CLAY

Ever Disciplined

LastModifiedDate

10/26/2025