JEROME W SEIGFREID Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003725

License Status

CANCELLED

Business

First Name

JEROME

Middle

Last Name

SEIGFREID

Business Name

JEROME W SEIGFREID

Original Issue Date

06/11/2013

Effective Date

06/11/2013

Expiration Date

06/11/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

03/13/2015