KENNETH OLIVER BOHANNON - Nursing Home Administrator License in Illinois | # 044000073

KENNETH OLIVER BOHANNON

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000073

License Status

INACTIVE

Business

N

First Name

KENNETH OLIVER

Last Name

BOHANNON

Business Name

KENNETH OLIVER BOHANNON

Effective Date

12/01/2005

Expiration Date

11/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

09/05/2007