MARSHA A JACOBS Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002872

License Status

CANCELLED

Business

First Name

MARSHA

Middle

Last Name

JACOBS

Business Name

MARSHA A JACOBS

Original Issue Date

06/06/2002

Effective Date

05/28/2004

Expiration Date

06/05/2003

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/31/2005