BEVERLY A SMITH - Nursing Home Administrator License in Illinois | # 045001411

BEVERLY A SMITH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001411

License Status

NOT RENEWED

Business

N

First Name

BEVERLY

Middle

A

Last Name

SMITH

Business Name

BEVERLY A SMITH

Original Issue Date

08/14/1986

Expiration Date

07/13/1987

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005