SUSAN PHILLIPS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005056

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

PHILLIPS

Business Name

SUSAN PHILLIPS

Original Issue Date

03/12/1996

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2005