SUSAN ANN SHAW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005895

License Status

NOT RENEWED

Business

First Name

SUSAN ANN

Last Name

SHAW

Business Name

SUSAN ANN SHAW

Original Issue Date

01/05/2001

Effective Date

02/10/2022

Expiration Date

11/30/2023

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/16/2024