STEPHENIE L SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011555

License Status

NOT RENEWED

Business

First Name

STEPHENIE

Middle

Last Name

SMITH

Business Name

STEPHENIE L SMITH

Original Issue Date

02/28/2018

Effective Date

11/25/2019

Expiration Date

02/28/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/27/2022