CAROL A JACKSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002427

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

JACKSON

Business Name

CAROL A JACKSON

Original Issue Date

12/05/1996

Expiration Date

10/27/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/31/2005