JACQUELINE K BOGNER Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002921

License Status

CANCELLED

Business

First Name

JACQUELINE

Middle

Last Name

BOGNER

Business Name

JACQUELINE K BOGNER

Original Issue Date

01/21/2003

Effective Date

05/28/2004

Expiration Date

01/21/2004

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/31/2005