WARREN T JACKSON Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011981

License Status

ACTIVE

Business

First Name

WARREN

Middle

Last Name

JACKSON

Business Name

WARREN T JACKSON

Original Issue Date

03/10/2023

Effective Date

09/15/2025

Expiration Date

11/30/2027

City

VILLA RIDGE

State

Zip

62996

Ever Disciplined

LastModifiedDate

09/15/2025