PHANA M CONAWAY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005848

License Status

NOT RENEWED

Business

First Name

PHANA

Middle

Last Name

CONAWAY

Business Name

PHANA M CONAWAY

Original Issue Date

08/31/2000

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

NORTH CANTON

State

Zip

44720

County

OHIO

Ever Disciplined

LastModifiedDate

01/23/2020