SUSAN ANN SHAW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002617

License Status

NOT RENEWED

Business

First Name

SUSAN ANN

Last Name

SHAW

Business Name

SUSAN ANN SHAW

Original Issue Date

05/28/1999

Effective Date

01/05/2001

Expiration Date

05/26/2000

City

BRIGHTON

State

Zip

62012

County

JERSEY

Ever Disciplined

LastModifiedDate

05/31/2005