MARTHA JODINE JACKSON Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010992

License Status

ACTIVE

Business

First Name

MARTHA JODINE

Last Name

JACKSON

Business Name

MARTHA JODINE JACKSON

Original Issue Date

06/06/2013

Effective Date

12/01/2025

Expiration Date

11/30/2027

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

12/01/2025