JACQUELINE RAE CLAYTON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002581

License Status

NOT RENEWED

Business

First Name

JACQUELINE RAE

Last Name

CLAYTON

Business Name

JACQUELINE RAE CLAYTON

Original Issue Date

12/18/1998

Effective Date

02/04/2000

Expiration Date

12/17/1999

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/31/2005