WILLIAM L SHACKLEFORD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002653

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

SHACKLEFORD

Business Name

WILLIAM L SHACKLEFORD

Original Issue Date

10/28/1999

Effective Date

01/05/2001

Expiration Date

09/06/2000

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005