AMRIT M JACOB Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002985

License Status

NOT RENEWED

Business

First Name

AMRIT

Middle

Last Name

JACOB

Business Name

AMRIT M JACOB

Original Issue Date

12/02/2004

Effective Date

12/02/2004

Expiration Date

12/02/2005

City

BEMENT

State

Zip

61813

County

PIATT

Ever Disciplined

LastModifiedDate

05/31/2005