PAMELA R JACOBSEN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003437

License Status

EXPIRED

Business

First Name

PAMELA

Middle

Last Name

JACOBSEN

Business Name

PAMELA R JACOBSEN

Original Issue Date

08/18/2009

Effective Date

08/18/2009

Expiration Date

08/18/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/04/2018