SHELLEY K KELLER Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004691

License Status

ACTIVE

Business

First Name

SHELLEY

Middle

Last Name

KELLER

Business Name

SHELLEY K KELLER

Original Issue Date

03/07/2025

Effective Date

03/07/2025

Expiration Date

03/07/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

03/07/2025