JEREMIAH OLU ELUGBADEBO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004844

License Status

NOT RENEWED

Business

First Name

JEREMIAH OLU

Last Name

ELUGBADEBO

Business Name

JEREMIAH OLU ELUGBADEBO

Original Issue Date

01/24/1995

Effective Date

11/10/2003

Expiration Date

11/30/2005

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2006