JACOB CHARLES VALLE - Nursing Home Administrator License in Illinois | # 045004204

JACOB CHARLES VALLE

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004204

License Status

EXPIRED

Business

N

First Name

JACOB

Middle

CHARLES

Last Name

VALLE

Business Name

JACOB CHARLES VALLE

Original Issue Date

09/11/2019

Effective Date

09/11/2019

Expiration Date

09/11/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020