THEDA I BOLL - Nursing Home Administrator License in Illinois | # 044000935

THEDA I BOLL

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000935

License Status

NOT RENEWED

Business

N

First Name

THEDA I

Last Name

BOLL

Business Name

THEDA I BOLL

Original Issue Date

12/06/1972

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005