PHYLLIS D HINDERLITER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003734

License Status

INACTIVE

Business

First Name

PHYLLIS D

Last Name

HINDERLITER

Business Name

PHYLLIS D HINDERLITER

Original Issue Date

08/11/1989

Effective Date

10/27/2011

Expiration Date

11/30/2013

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/05/2013