THERESA H SHOFNER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002491

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

SHOFNER

Business Name

THERESA H SHOFNER

Original Issue Date

08/20/1997

Expiration Date

07/17/1998

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

05/31/2005