JEFFERY S ADAMS Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002865

License Status

CANCELLED

Business

First Name

JEFFERY

Middle

Last Name

ADAMS

Business Name

JEFFERY S ADAMS

Original Issue Date

05/09/2002

Effective Date

05/28/2004

Expiration Date

05/09/2003

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/31/2005