PETER J BOLT III Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002074

License Status

NOT RENEWED

Business

First Name

PETER J

Last Name

BOLT III

Business Name

PETER J BOLT III

Original Issue Date

04/21/1992

Expiration Date

03/04/1993

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

05/31/2005