SHELLIE M MUMME Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002352

License Status

NOT RENEWED

Business

First Name

SHELLIE

Middle

Last Name

MUMME

Business Name

SHELLIE M MUMME

Original Issue Date

11/07/1995

Effective Date

01/05/2001

Expiration Date

11/10/2000

City

GOLDEN

State

Zip

62339

County

ADAMS

Ever Disciplined

LastModifiedDate

05/31/2005