PHYLETA ANN VANDEVENTER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002223

License Status

NOT RENEWED

Business

First Name

PHYLETA ANN

Last Name

VANDEVENTER

Business Name

PHYLETA ANN VANDEVENTER

Original Issue Date

06/16/1980

Expiration Date

11/30/1997

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

06/12/2005

Case Number

1996005294

Action

Suspension

Discipline Start Date

04/23/1997

Discipline Reason

Failed to submit proof of required continuing education hours.