MARY J BOLIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000882

License Status

INACTIVE

Business

First Name

MARY J

Last Name

BOLIN

Business Name

MARY J BOLIN

Original Issue Date

09/19/1972

Expiration Date

11/30/1985

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005