KENNETH A SHULL
Nursing Home Administrators at 18 St, Lewiston, ID

License number
Florida 4767
Issued Date
Dec 8, 2006
Effective Date
Feb 28, 2011
Expiration Date
Sep 30, 2018
Category
Health Care
Type
Nursing Home Administrator
Address
Address 2
1620 18Th St, Lewiston, ID 83501
500 Hosiptal Dr, Crestview, FL 32539
Phone
(575) 494-7456
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.