JACQUELINE K BURKE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003006

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

BURKE

Business Name

JACQUELINE K BURKE

Original Issue Date

03/05/2004

Effective Date

05/02/2005

Expiration Date

03/05/2005

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005