ANDREA L SHAW - Nursing Home Administrator License in Illinois | # 045004090

ANDREA L SHAW

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004090

License Status

EXPIRED

Business

N

First Name

ANDREA

Middle

L

Last Name

SHAW

Business Name

ANDREA L SHAW

Original Issue Date

02/23/2018

Effective Date

03/01/2019

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020