WILLIAM L SHACKLEFORD - Nursing Home Administrator License in Illinois | # 045002653

WILLIAM L SHACKLEFORD

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002653

License Status

NOT RENEWED

Business

N

First Name

WILLIAM

Middle

L

Last Name

SHACKLEFORD

Business Name

WILLIAM L SHACKLEFORD

Original Issue Date

10/28/1999

Effective Date

01/05/2001

Expiration Date

09/06/2000

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005