JAQUELINE CHANEL TAYLOR Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004025

License Status

NOT RENEWED

Business

First Name

JAQUELINE

Middle

CHANEL

Last Name

TAYLOR

Business Name

JAQUELINE CHANEL TAYLOR

Original Issue Date

05/25/2017

Effective Date

05/25/2017

Expiration Date

05/25/2018

City

HAZELWOOD

State

Zip

63042

Ever Disciplined

LastModifiedDate

07/19/2018