PHYLLIS M DANIELS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003175

License Status

EXPIRED

Business

First Name

PHYLLIS M

Last Name

DANIELS

Business Name

PHYLLIS M DANIELS

Original Issue Date

08/09/2006

Effective Date

08/09/2006

Expiration Date

08/09/2007

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018