JACK K RICHEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001699

License Status

NOT RENEWED

Business

First Name

JACK K

Last Name

RICHEY

Business Name

JACK K RICHEY

Original Issue Date

01/04/1989

Expiration Date

12/30/1989

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/31/2005