DAVID W JAQUES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001776

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

JAQUES

Business Name

DAVID W JAQUES

Original Issue Date

08/10/1989

Expiration Date

08/09/1990

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005