ANGELA M PITTS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002582

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

PITTS

Business Name

ANGELA M PITTS

Original Issue Date

12/30/1998

Effective Date

02/04/2000

Expiration Date

12/30/1999

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/31/2005