BEVERLY A SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001411

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

SMITH

Business Name

BEVERLY A SMITH

Original Issue Date

08/14/1986

Expiration Date

07/13/1987

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005