PETER J BOLT III - Nursing Home Administrator License in Illinois | # 045002074

PETER J BOLT III

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002074

License Status

NOT RENEWED

Business

N

First Name

PETER J

Last Name

BOLT III

Business Name

PETER J BOLT III

Original Issue Date

04/21/1992

Expiration Date

03/04/1993

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005