DIANE SUE SHELBY Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010697

License Status

ACTIVE

Business

First Name

DIANE

Middle

SUE

Last Name

SHELBY

Business Name

DIANE SUE SHELBY

Original Issue Date

01/31/2011

Effective Date

11/21/2025

Expiration Date

11/30/2027

City

GALLUP

State

Zip

87301

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/21/2025