JACKIE L COOK Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004137

License Status

EXPIRED

Business

First Name

JACKIE L

Last Name

COOK

Business Name

JACKIE L COOK

Original Issue Date

10/15/2018

Effective Date

08/18/2018

Expiration Date

08/18/2019

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

12/30/2019