MARY E BOULOS - Nursing Home Administrator License in Illinois | # 044011481

MARY E BOULOS

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011481

License Status

INACTIVE

Business

N

First Name

MARY

Middle

E

Last Name

BOULOS

Business Name

MARY E BOULOS

Original Issue Date

08/10/2017

Effective Date

10/08/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/29/2021