THERESA H SHOFNER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005506

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

SHOFNER

Business Name

THERESA H SHOFNER

Original Issue Date

08/24/1998

Effective Date

12/19/2003

Expiration Date

11/30/2005

City

BATCHTOWN

State

Zip

62006

County

CALHOUN

Ever Disciplined

LastModifiedDate

01/09/2006