JERRY D NELSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002665

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

NELSON

Business Name

JERRY D NELSON

Original Issue Date

12/17/1999

Effective Date

01/05/2001

Expiration Date

11/30/2000

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/31/2005