JAZZOLIN SHELBY BEAVERS Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045014874

License Status

ACTIVE

Business

First Name

JAZZOLIN

Middle

SHELBY

Last Name

BEAVERS

Business Name

JAZZOLIN SHELBY BEAVERS

Original Issue Date

08/11/2025

Effective Date

08/11/2025

Expiration Date

08/11/2026

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

02/10/2026