KIMBERLY P BOHANNON - Nursing Home Administrator License in Illinois | # 044003733

KIMBERLY P BOHANNON

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003733

License Status

INACTIVE

Business

N

First Name

KIMBERLY P

Last Name

BOHANNON

Business Name

KIMBERLY P BOHANNON

Original Issue Date

08/11/1989

Effective Date

10/02/2001

Expiration Date

11/30/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/11/2005