MARY E BOULOS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011481

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

BOULOS

Business Name

MARY E BOULOS

Original Issue Date

08/10/2017

Effective Date

10/08/2019

Expiration Date

02/28/2022

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

11/29/2021