SHARON S MATHIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004724

License Status

INACTIVE

Business

First Name

SHARON S

Last Name

MATHIS

Business Name

SHARON S MATHIS

Original Issue Date

06/10/1994

Effective Date

11/17/2003

Expiration Date

11/30/2005

City

LOUISVILLE

State

Zip

62858

County

CLAY

Ever Disciplined

LastModifiedDate

10/11/2005