License Information
License Number
044000550Business Name
JACK HERIFORDLicense Type
NURSING HOME ADMINOriginal Issue Date
1970-01-01License Status
INACTIVECity
SCOTTVILLEState
ILCounty
MACOUPINPost
62683Update Date
2023-12-17Business
NExpiration Date
11/30/1985Ever Disciplined
NLastModifiedDate
05/27/2005Registered Location
Peripheral Licensees
- PATSY J MILLER SCOTTVILLE, IL 62683
- MARJORIE L KOLB SCOTTVILLE, MI 49454
- PEGGY S CLOSE SCOTTVILLE, IL 62683
- JOSEPH GENNINGS LUCE SCOTTVILLE, MI 49454
- KENNEDY JOY COLE SCOTTVILLE, IL 62667
- GLENNA R KERSTEIN SCOTTVILLE, IL 62683
- HEATHER M PARKS SCOTTVILLE, MI 49454
- PEGGY S CLOSE SCOTTVILLE, IL 62683
- CLAUDIA JEAN SCHROEDER MD SCOTTVILLE, MI 49454
- KATHLEEN J WENNSTROM SCOTTVILLE, MI 49454