GAIL J SHAW Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002785

License Status

CANCELLED

Business

First Name

GAIL

Middle

Last Name

SHAW

Business Name

GAIL J SHAW

Original Issue Date

06/05/2001

Effective Date

05/28/2004

Expiration Date

01/01/2003

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005