SHAWN W KELLEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010102

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

KELLEY

Business Name

SHAWN W KELLEY

Original Issue Date

06/05/2006

Effective Date

11/12/2019

Expiration Date

02/28/2022

City

COLONA

State

Zip

61241

County

HENRY

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

07/27/2022