THEDA I BOLL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000935

License Status

NOT RENEWED

Business

First Name

THEDA I

Last Name

BOLL

Business Name

THEDA I BOLL

Original Issue Date

12/06/1972

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/27/2005