JOHN A SHAW Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003902

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

SHAW

Business Name

JOHN A SHAW

Original Issue Date

12/15/2015

Effective Date

11/01/2015

Expiration Date

11/01/2016

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/09/2017