ANDREA L SHAW Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004090

License Status

EXPIRED

Business

First Name

ANDREA

Middle

Last Name

SHAW

Business Name

ANDREA L SHAW

Original Issue Date

02/23/2018

Effective Date

03/01/2019

Expiration Date

03/01/2020

City

RIDGWAY

State

Zip

62979

County

GALLATIN

Ever Disciplined

LastModifiedDate

11/19/2020