SHANNON D MOORE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003517

License Status

EXPIRED

Business

First Name

SHANNON D

Last Name

MOORE

Business Name

SHANNON D MOORE

Original Issue Date

07/22/2010

Effective Date

07/05/2010

Expiration Date

07/04/2011

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

01/04/2018