SHELBY R BAKER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004542

License Status

EXPIRED

Business

First Name

SHELBY

Middle

Last Name

BAKER

Business Name

SHELBY R BAKER

Original Issue Date

07/05/2023

Effective Date

07/05/2023

Expiration Date

07/05/2024

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

12/30/2024