CHARLES E SMITH SR Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000929

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

SMITH SR

Business Name

CHARLES E SMITH SR

Original Issue Date

12/06/1972

Expiration Date

11/30/1985

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/27/2005