SHUBAM GAUTAM Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011608

License Status

ACTIVE

Business

First Name

SHUBAM

Last Name

GAUTAM

Business Name

SHUBAM GAUTAM

Original Issue Date

09/14/2018

Effective Date

11/13/2025

Expiration Date

11/30/2027

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/13/2025