STEPHANIE J SMITH Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004403

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

Last Name

SMITH

Business Name

STEPHANIE J SMITH

Original Issue Date

12/23/2021

Effective Date

11/21/2022

Expiration Date

12/23/2023

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

12/21/2021