DOROTHY M BOMKAMP Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001112

License Status

INACTIVE

Business

First Name

DOROTHY M

Last Name

BOMKAMP

Business Name

DOROTHY M BOMKAMP

Original Issue Date

03/12/1974

Expiration Date

11/30/1985

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/27/2005