PHYLLIS EVANS - Nursing Home Administrator License in Illinois | # 045001729

PHYLLIS EVANS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001729

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

EVANS

Business Name

PHYLLIS EVANS

Original Issue Date

04/11/1989

Expiration Date

04/10/1990

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005