KIMBERLY A SHEPPARD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010400

License Status

INACTIVE

Business

First Name

KIMBERLY A

Last Name

SHEPPARD

Business Name

KIMBERLY A SHEPPARD

Original Issue Date

10/30/2008

Effective Date

10/02/2009

Expiration Date

11/30/2011

City

GREENFIELD

State

Zip

62044

County

GREENE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/07/2011