KELLY C BOGGESS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002738

License Status

NOT RENEWED

Business

First Name

KELLY C

Last Name

BOGGESS

Business Name

KELLY C BOGGESS

Original Issue Date

12/13/2000

Effective Date

10/25/2001

Expiration Date

10/23/2001

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/31/2005