JEAN LOUISE HEADE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003284

License Status

EXPIRED

Business

First Name

JEAN

Middle

LOUISE

Last Name

HEADE

Business Name

JEAN LOUISE HEADE

Original Issue Date

09/14/2007

Effective Date

09/14/2007

Expiration Date

09/14/2008

City

DU QUOIN

State

Zip

62832

County

PERRY

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018