SHANNON L DEY Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003027

License Status

EXPIRED

Business

First Name

SHANNON L

Last Name

DEY

Business Name

SHANNON L DEY

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

06/10/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2018