PHYLLIS A CASTEAL Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006010

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

CASTEAL

Business Name

PHYLLIS A CASTEAL

Original Issue Date

01/14/2002

Effective Date

01/08/2004

Expiration Date

11/30/2003

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/03/2018