TINA RENAE SMITH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004209

License Status

EXPIRED

Business

First Name

TINA

Middle

RENAE

Last Name

SMITH

Business Name

TINA RENAE SMITH

Original Issue Date

09/16/2019

Effective Date

09/25/2020

Expiration Date

09/25/2021

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

07/27/2022