PHYLLIS A SMITH Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005147

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

SMITH

Business Name

PHYLLIS A SMITH

Original Issue Date

07/19/1996

Expiration Date

11/30/1997

City

TAMAROA

State

Zip

62888

County

PERRY

Ever Disciplined

LastModifiedDate

05/27/2005