CAMILLE LYNETTE SMITH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002959

License Status

EXPIRED

Business

First Name

CAMILLE

Middle

LYNETTE

Last Name

SMITH

Business Name

CAMILLE LYNETTE SMITH

Original Issue Date

07/14/2003

Effective Date

09/23/2004

Expiration Date

07/10/2004

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018