JONATHAN A SHIVELY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011781

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

SHIVELY

Business Name

JONATHAN A SHIVELY

Original Issue Date

08/10/2020

Effective Date

01/07/2022

Expiration Date

11/30/2023

City

ELGIN

State

Zip

60123

Ever Disciplined

LastModifiedDate

04/16/2024