JEFFERY S DAVIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002511

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

DAVIS

Business Name

JEFFERY S DAVIS

Original Issue Date

12/03/1997

Expiration Date

10/26/1998

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005