PHILICIA L DECKARD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005634

License Status

INACTIVE

Business

First Name

PHILICIA

Middle

Last Name

DECKARD

Business Name

PHILICIA L DECKARD

Original Issue Date

04/14/1999

Effective Date

11/30/2001

Expiration Date

11/30/2001

City

CRESTWOOD

State

Zip

60418

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

10/11/2005