SUSAN LAWLER SMITH Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004691

License Status

INACTIVE

Business

First Name

SUSAN

Middle

LAWLER

Last Name

SMITH

Business Name

SUSAN LAWLER SMITH

Original Issue Date

03/05/1994

Effective Date

11/21/2011

Expiration Date

11/30/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/05/2013