NATHANIEL D SMITH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003139

License Status

EXPIRED

Business

First Name

NATHANIEL

Middle

Last Name

SMITH

Business Name

NATHANIEL D SMITH

Original Issue Date

04/03/2006

Effective Date

04/03/2006

Expiration Date

04/03/2007

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018