SHIBU P PERUMBULLY Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011843

License Status

ACTIVE

Business

First Name

SHIBU

Middle

Last Name

PERUMBULLY

Business Name

SHIBU P PERUMBULLY

Original Issue Date

03/10/2021

Effective Date

10/22/2025

Expiration Date

11/30/2027

City

OAKLAWN

State

Zip

60453

Ever Disciplined

LastModifiedDate

10/22/2025