CAROL A SHEPHERD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002842

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

SHEPHERD

Business Name

CAROL A SHEPHERD

Original Issue Date

01/22/2002

Effective Date

12/03/2002

Expiration Date

10/31/2002

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/11/2005