ROSE MARIE SHULTS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004342

License Status

NOT RENEWED

Business

First Name

ROSE MARIE

Last Name

SHULTS

Business Name

ROSE MARIE SHULTS

Original Issue Date

08/03/1992

Effective Date

11/09/2017

Expiration Date

11/30/2019

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/23/2020