JIFI C JACOB Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002211

License Status

NOT RENEWED

Business

First Name

JIFI C

Last Name

JACOB

Business Name

JIFI C JACOB

Original Issue Date

01/10/1994

Expiration Date

03/02/1995

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005