KELLY O PHELPS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005014

License Status

NOT RENEWED

Business

First Name

KELLY O

Last Name

PHELPS

Business Name

KELLY O PHELPS

Original Issue Date

12/18/1995

Expiration Date

11/30/1999

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/27/2005