KENNETH G JACKSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002254

License Status

NOT RENEWED

Business

First Name

KENNETH G

Last Name

JACKSON

Business Name

KENNETH G JACKSON

Original Issue Date

08/15/1994

Expiration Date

05/01/1995

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/31/2005