SUSAN MARIE SHAW - Nursing Home Administrator License in Illinois | # 045003706

SUSAN MARIE SHAW

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003706

License Status

CANCELLED

Business

N

First Name

SUSAN

Middle

MARIE

Last Name

SHAW

Business Name

SUSAN MARIE SHAW

Original Issue Date

02/11/2013

Effective Date

11/26/2013

Expiration Date

11/26/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/13/2015