SHANEICE B PENNY Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004019

License Status

CANCELLED

Business

First Name

SHANEICE

Middle

Last Name

PENNY

Business Name

SHANEICE B PENNY

Original Issue Date

04/12/2017

Effective Date

03/10/2017

Expiration Date

03/10/2018

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

06/15/2018