JEFFREY D RUSSELL Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003268

License Status

EXPIRED

Business

First Name

JEFFREY D

Last Name

RUSSELL

Business Name

JEFFREY D RUSSELL

Original Issue Date

07/16/2007

Effective Date

07/16/2007

Expiration Date

07/16/2008

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018