JACK CORDELL SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000152

License Status

NOT RENEWED

Business

First Name

JACK CORDELL

Last Name

SMITH

Business Name

JACK CORDELL SMITH

Expiration Date

11/30/1983

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/27/2005