JONATHAN D VICENZI Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002014

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

VICENZI

Business Name

JONATHAN D VICENZI

Original Issue Date

07/03/1991

Expiration Date

05/05/1993

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/31/2005