PAUL E SHOCKLEY Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003048

License Status

EXPIRED

Business

First Name

PAUL

Middle

Last Name

SHOCKLEY

Business Name

PAUL E SHOCKLEY

Original Issue Date

11/04/2004

Effective Date

11/04/2004

Expiration Date

11/04/2006

City

SESSER

State

Zip

62884

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/04/2018