CLARENCE E BOYKIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002650

License Status

NOT RENEWED

Business

First Name

CLARENCE

Middle

Last Name

BOYKIN

Business Name

CLARENCE E BOYKIN

Original Issue Date

10/27/1999

Effective Date

01/05/2001

Expiration Date

08/23/2000

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/31/2005