KENNETH A SHULL Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003141

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

SHULL

Business Name

KENNETH A SHULL

Original Issue Date

04/04/2006

Effective Date

04/04/2006

Expiration Date

04/04/2007

City

CHICAGO

State

Zip

60621

County

COOK

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018