CHARLENE BERNICE PHILLIPS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004252

License Status

NOT RENEWED

Business

First Name

CHARLENE BERNICE

Last Name

PHILLIPS

Business Name

CHARLENE BERNICE PHILLIPS

Original Issue Date

02/20/1992

Expiration Date

11/30/1999

City

SURPRISE

State

Zip

85374

Ever Disciplined

LastModifiedDate

05/27/2005

Case Number

1998000573

Action

Fine

Discipline Start Date

09/24/1998

Discipline Reason

Failing to complete required continuing education hours.