PHYLLIS EVANS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003787

License Status

INACTIVE

Business

First Name

PHYLLIS

Last Name

EVANS

Business Name

PHYLLIS EVANS

Original Issue Date

11/28/1989

Expiration Date

11/30/1991

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/27/2005