LAVERNE ARTHUR SMITH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003558

License Status

EXPIRED

Business

First Name

LAVERNE

Middle

ARTHUR

Last Name

SMITH

Business Name

LAVERNE ARTHUR SMITH

Original Issue Date

02/22/2011

Effective Date

02/22/2011

Expiration Date

02/22/2012

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

01/04/2018