SHELLY L MARTIN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006075

License Status

ACTIVE

Business

First Name

SHELLY

Middle

Last Name

MARTIN

Business Name

SHELLY L MARTIN

Original Issue Date

06/13/2002

Effective Date

09/29/2025

Expiration Date

11/30/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/29/2025