JAI MATTHEW MOORE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003248

License Status

EXPIRED

Business

First Name

JAI

Middle

MATTHEW

Last Name

MOORE

Business Name

JAI MATTHEW MOORE

Original Issue Date

05/15/2007

Effective Date

05/15/2007

Expiration Date

05/15/2008

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018