JACOB CHARLES VALLE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004204

License Status

EXPIRED

Business

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

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

11/24/2020