JACLYN R ROTH Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044012059

License Status

ACTIVE

Business

First Name

JACLYN

Middle

Last Name

ROTH

Business Name

JACLYN R ROTH

Original Issue Date

01/26/2024

Effective Date

10/28/2025

Expiration Date

11/30/2027

City

TROY

State

Zip

62294

Ever Disciplined

LastModifiedDate

11/17/2025