CAROL A SHEPHERD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006188

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

SHEPHERD

Business Name

CAROL A SHEPHERD

Original Issue Date

04/18/2003

Effective Date

11/09/2015

Expiration Date

11/30/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/04/2018