SHEILA M FASZOLD Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004329

License Status

EXPIRED

Business

First Name

SHEILA

Middle

Last Name

FASZOLD

Business Name

SHEILA M FASZOLD

Original Issue Date

02/10/2021

Effective Date

02/10/2021

Expiration Date

02/10/2022

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022