SHEILA J SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005755

License Status

NOT RENEWED

Business

First Name

SHEILA

Middle

Last Name

SMITH

Business Name

SHEILA J SMITH

Original Issue Date

02/17/2000

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

JOHNSONVILLE

State

Zip

62850

County

WAYNE

Ever Disciplined

LastModifiedDate

10/11/2005