MARY ANN SMITH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003065

License Status

EXPIRED

Business

First Name

MARY

Middle

ANN

Last Name

SMITH

Business Name

MARY ANN SMITH

Original Issue Date

01/12/2005

Effective Date

01/12/2005

Expiration Date

01/12/2006

City

ODIN

State

Zip

62870

County

MARION

Ever Disciplined

LastModifiedDate

01/04/2018