PAUL E SHOCKLEY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010223

License Status

INACTIVE

Business

First Name

PAUL

Middle

Last Name

SHOCKLEY

Business Name

PAUL E SHOCKLEY

Original Issue Date

06/13/2007

Effective Date

11/16/2009

Expiration Date

11/30/2011

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/07/2011