SHAY HARLAN JACOBSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004882

License Status

NOT RENEWED

Business

First Name

SHAY HARLAN

Last Name

JACOBSON

Business Name

SHAY HARLAN JACOBSON

Original Issue Date

03/17/1995

Expiration Date

11/30/1999

City

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

05/27/2005