JACOB LEON VASS Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004463

License Status

CANCELLED

Business

First Name

JACOB

Middle

LEON

Last Name

VASS

Business Name

JACOB LEON VASS

Original Issue Date

09/06/2022

Effective Date

10/05/2023

Expiration Date

10/04/2024

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

09/06/2022