Idaho
Division of Occupational and Professional Licenses
KENNETH SHULL
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator
License number
NHA - 719
Date granted
08/11/2005
Date expires
10/18/2016
Class
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator
Status
Current
Address
LEWISTON ID 83501
idaholicensing.com
ID 19680667
LAST UPDATED 2024-02-28 20:19:44 UTC
LAST UPDATED 2024-02-28 20:19:44 UTC
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