WILFORD LYNN BOTT Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005590

License Status

INACTIVE

Business

First Name

WILFORD LYNN

Last Name

BOTT

Business Name

WILFORD LYNN BOTT

Original Issue Date

02/23/1999

Effective Date

11/09/2001

Expiration Date

11/30/2001

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/11/2005