SHANNON L TATE Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004229

License Status

EXPIRED

Business

First Name

SHANNON

Middle

Last Name

TATE

Business Name

SHANNON L TATE

Original Issue Date

11/15/2019

Effective Date

11/15/2019

Expiration Date

11/15/2020

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

03/11/2021