PETER J BOLT III Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004419

License Status

ACTIVE

Business

First Name

PETER J

Last Name

BOLT III

Business Name

PETER J BOLT III

Original Issue Date

12/23/1992

Effective Date

09/16/2025

Expiration Date

11/30/2027

City

SPRINGFIELD

State

Zip

62711

Ever Disciplined

LastModifiedDate

09/16/2025