CATHY LEE SMIKLE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003709

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

LEE

Last Name

SMIKLE

Business Name

CATHY LEE SMIKLE

Original Issue Date

02/19/2013

Effective Date

02/19/2013

Expiration Date

02/19/2014

City

MOUNT CARROLL,

State

Zip

61053

County

CARROLL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

08/12/2014