MICHELLE L SMITH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003475

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

Last Name

SMITH

Business Name

MICHELLE L SMITH

Original Issue Date

03/10/2010

Effective Date

03/10/2010

Expiration Date

03/10/2011

City

PITTSFIELD

State

Zip

62363

County

PIKE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018