BERTHA DENISE MIZE-JACKSON - Nursing Home Administrator License in Illinois | # 045004543

BERTHA DENISE MIZE-JACKSON

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004543

License Status

EXPIRED

Business

N

First Name

BERTHA

Middle

DENISE

Last Name

MIZE-JACKSON

Business Name

BERTHA DENISE MIZE-JACKSON

Original Issue Date

07/20/2023

Effective Date

07/20/2023

Expiration Date

07/20/2024

State

IL

Ever Disciplined

N

LastModifiedDate

12/30/2024