SANDRA R SHY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001573

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

SHY

Business Name

SANDRA R SHY

Original Issue Date

12/22/1987

Expiration Date

12/22/1988

City

AVISTON

State

Zip

62216

County

CLINTON

Ever Disciplined

LastModifiedDate

05/31/2005