JOAN L BODENLOS Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002910

License Status

CANCELLED

Business

First Name

JOAN

Middle

Last Name

BODENLOS

Business Name

JOAN L BODENLOS

Original Issue Date

11/21/2002

Effective Date

05/28/2004

Expiration Date

11/21/2003

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/31/2005