JOHN A SHAW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011408

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

SHAW

Business Name

JOHN A SHAW

Original Issue Date

12/06/2016

Effective Date

12/01/2023

Expiration Date

11/30/2025

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

03/05/2026