PHYLLIS M ELMORE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001009

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

ELMORE

Business Name

PHYLLIS M ELMORE

Original Issue Date

06/20/1973

Expiration Date

11/30/1985

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005