PHYLLIS A SMITH - Nursing Home Administrator License in Illinois | # 045002369

PHYLLIS A SMITH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002369

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS A

Last Name

SMITH

Business Name

PHYLLIS A SMITH

Original Issue Date

02/23/1996

Expiration Date

02/09/1997

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005