Jack Cordell Smith
ExpiredIllinois license 044000152
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044000152
- Status
- Expired (Not Renewed)
- Expired
- November 30, 1983
- License holder
- Jack Cordell Smith
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Alton, IL 62002
Madison County