DIANA M BOHANNON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001779

License Status

INACTIVE

Business

First Name

DIANA M

Last Name

BOHANNON

Business Name

DIANA M BOHANNON

Original Issue Date

10/28/1977

Expiration Date

11/30/1987

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/27/2005