NATHANIEL D SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010197

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

Last Name

SMITH

Business Name

NATHANIEL D SMITH

Original Issue Date

04/13/2007

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/07/2010