PEARL ELLEN BOULNOIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002800

License Status

INACTIVE

Business

First Name

PEARL ELLEN

Last Name

BOULNOIS

Business Name

PEARL ELLEN BOULNOIS

Original Issue Date

09/12/1983

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

09/05/2007