JILL E POTTS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002165

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

POTTS

Business Name

JILL E POTTS

Original Issue Date

05/03/1993

Expiration Date

04/11/1994

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/31/2005