THERESA H SHOFNER - Nursing Home Administrator License in Illinois | # 045002491

THERESA H SHOFNER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002491

License Status

NOT RENEWED

Business

N

First Name

THERESA

Middle

H

Last Name

SHOFNER

Business Name

THERESA H SHOFNER

Original Issue Date

08/20/1997

Expiration Date

07/17/1998

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005