SHELLEY CAROL LEWIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002246

License Status

NOT RENEWED

Business

First Name

SHELLEY CAROL

Last Name

LEWIS

Business Name

SHELLEY CAROL LEWIS

Original Issue Date

09/18/1980

Effective Date

09/25/2019

Expiration Date

02/28/2022

City

HOT SPRINGS VILLAGE

State

Zip

71909

Ever Disciplined

LastModifiedDate

07/27/2022