DIANA L BOHANNON-SMITH Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005243

License Status

ACTIVE

Business

First Name

DIANA L

Last Name

BOHANNON-SMITH

Business Name

DIANA L BOHANNON-SMITH

Original Issue Date

02/22/1997

Effective Date

10/19/2025

Expiration Date

11/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/19/2025