CRYSTAL J SIMMONS Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004220

License Status

CANCELLED

Business

First Name

CRYSTAL

Middle

Last Name

SIMMONS

Business Name

CRYSTAL J SIMMONS

Original Issue Date

10/15/2019

Effective Date

10/15/2019

Expiration Date

10/15/2020

City

FARMER CITY

State

Zip

61842

Ever Disciplined

LastModifiedDate

10/15/2019