JACKIE L VINCENT Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005535

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

VINCENT

Business Name

JACKIE L VINCENT

Original Issue Date

11/30/1998

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/11/2005