JOAN L BODENLOS - Nursing Home Administrator License in Illinois | # 045002910

JOAN L BODENLOS

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002910

License Status

CANCELLED

Business

N

First Name

JOAN

Middle

L

Last Name

BODENLOS

Business Name

JOAN L BODENLOS

Original Issue Date

11/21/2002

Effective Date

05/28/2004

Expiration Date

11/21/2003

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005