ANGELA C JACKSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002349

License Status

NOT RENEWED

Business

First Name

ANGELA C

Last Name

JACKSON

Business Name

ANGELA C JACKSON

Original Issue Date

11/01/1995

Expiration Date

10/25/1996

City

SUMNER

State

Zip

62466

County

CRAWFORD

Ever Disciplined

LastModifiedDate

05/31/2005