KARLA MARIE SMITH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003089

License Status

EXPIRED

Business

First Name

KARLA MARIE

Last Name

SMITH

Business Name

KARLA MARIE SMITH

Original Issue Date

07/06/2005

Effective Date

07/06/2005

Expiration Date

07/06/2006

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018