SUSAN L SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006394

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

SMITH

Business Name

SUSAN L SMITH

Original Issue Date

03/21/2005

Effective Date

11/13/2013

Expiration Date

11/30/2015

City

VIOLA

State

Zip

61486

County

MERCER

Ever Disciplined

LastModifiedDate

01/08/2016