GINA R BOURLAND Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002346

License Status

NOT RENEWED

Business

First Name

GINA R

Last Name

BOURLAND

Business Name

GINA R BOURLAND

Original Issue Date

10/16/1995

Expiration Date

11/03/1996

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/31/2005