ALEX M SHEPHERD Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004182

License Status

EXPIRED

Business

First Name

ALEX

Middle

Last Name

SHEPHERD

Business Name

ALEX M SHEPHERD

Original Issue Date

05/09/2019

Effective Date

03/31/2020

Expiration Date

05/09/2021

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021