PHYLLIS EVANS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001729

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

EVANS

Business Name

PHYLLIS EVANS

Original Issue Date

04/11/1989

Expiration Date

04/10/1990

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005