VIRGINIA E SHAW Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003622

License Status

INACTIVE

Business

First Name

VIRGINIA E

Last Name

SHAW

Business Name

VIRGINIA E SHAW

Original Issue Date

12/06/1988

Effective Date

11/09/1999

Expiration Date

11/30/1999

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/11/2005