Jai Matthew Moore
ExpiredIllinois license 045003248
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045003248
- Status
- Expired
- First issued
- May 15, 2007
- Expired
- May 15, 2008
- License holder
- Jai Matthew Moore
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Specialty
- Non Limited
- Current term began
- 05/15/2007
Contact
O Fallon, IL 62269
Saint Clair County