SHIRLEY ANN KEITHLEY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001459

License Status

INACTIVE

Business

First Name

SHIRLEY ANN

Last Name

KEITHLEY

Business Name

SHIRLEY ANN KEITHLEY

Original Issue Date

07/20/1976

Expiration Date

11/30/1993

City

FAIRVIEW

State

Zip

61432

County

FULTON

Ever Disciplined

LastModifiedDate

05/27/2005