SUSAN L SMITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003007

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

SMITH

Business Name

SUSAN L SMITH

Original Issue Date

03/08/2004

Effective Date

05/02/2005

Expiration Date

03/08/2005

City

VIOLA

State

Zip

61486

County

MERCER

Ever Disciplined

LastModifiedDate

05/31/2005