JENNIFER L ROACH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005736

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

ROACH

Business Name

JENNIFER L ROACH

Original Issue Date

12/29/1999

Effective Date

11/21/2019

Expiration Date

02/28/2022

City

DEMING

State

Zip

88030

Ever Disciplined

LastModifiedDate

07/27/2022