LORI A JACKSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002822

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

JACKSON

Business Name

LORI A JACKSON

Original Issue Date

10/30/2001

Effective Date

12/03/2002

Expiration Date

10/08/2002

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

10/11/2005