BRUCE W BOEHM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001914

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

BOEHM

Prefix

Business Name

BRUCE W BOEHM

Original Issue Date

08/24/1990

Expiration Date

12/07/1994

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/31/2005