JACQUELINE M DE ROUSSE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004374

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

DE ROUSSE

Business Name

JACQUELINE M DE ROUSSE

Original Issue Date

08/31/1992

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/05/2007