TAMMY L JACKSON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004321

License Status

CANCELLED

Business

First Name

TAMMY

Middle

Last Name

JACKSON

Business Name

TAMMY L JACKSON

Original Issue Date

01/04/2021

Effective Date

06/02/2022

Expiration Date

06/02/2023

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

01/04/2021