RONALD DEWAIN PHILLIPS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002296

License Status

NOT RENEWED

Business

First Name

RONALD DEWAIN

Last Name

PHILLIPS

Business Name

RONALD DEWAIN PHILLIPS

Original Issue Date

11/12/1980

Expiration Date

11/30/1995

City

METROPOLIS

State

Zip

62960

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/27/2005