ANGELA C JACKSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005092

License Status

INACTIVE

Business

First Name

ANGELA C

Last Name

JACKSON

Business Name

ANGELA C JACKSON

Original Issue Date

03/21/1996

Effective Date

02/05/2004

Expiration Date

11/30/2003

City

SIMPSON

State

Zip

62985

County

JOHNSON

Ever Disciplined

LastModifiedDate

10/11/2005