MARY R SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004983

License Status

NOT RENEWED

Business

First Name

MARY R

Last Name

SMITH

Business Name

MARY R SMITH

Original Issue Date

09/19/1995

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

PONTIAC

State

Zip

61764

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/11/2005