KENNETH OLIVER BOHANNON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000073

License Status

INACTIVE

Business

First Name

KENNETH OLIVER

Last Name

BOHANNON

Business Name

KENNETH OLIVER BOHANNON

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/05/2007