SHANNON D MOORE Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010640

License Status

ACTIVE

Business

First Name

SHANNON D

Last Name

MOORE

Business Name

SHANNON D MOORE

Original Issue Date

08/05/2010

Effective Date

11/27/2025

Expiration Date

11/30/2027

City

TAYLOR SPRINGS

State

Zip

62089

County

MONTGOMERY

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/27/2025