THERESA H SHOFNER - Nursing Home Administrator License in Illinois | # 044005506

THERESA H SHOFNER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005506

License Status

NOT RENEWED

Business

N

First Name

THERESA

Middle

H

Last Name

SHOFNER

Business Name

THERESA H SHOFNER

Original Issue Date

08/24/1998

Effective Date

12/19/2003

Expiration Date

11/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2006