JACQUELINE R DAVIDSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004472

License Status

EXPIRED

Business

First Name

JACQUELINE

Middle

Last Name

DAVIDSON

Business Name

JACQUELINE R DAVIDSON

Original Issue Date

10/03/2022

Effective Date

10/03/2022

Expiration Date

10/03/2023

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/16/2024