MARTHA JODINE JACKSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003661

License Status

EXPIRED

Business

First Name

MARTHA JODINE

Last Name

JACKSON

Business Name

MARTHA JODINE JACKSON

Original Issue Date

06/06/2012

Effective Date

06/06/2012

Expiration Date

06/06/2013

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

01/04/2018