DENA MARIE BOSS Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003417

License Status

EXPIRED

Business

First Name

DENA

Middle

MARIE

Last Name

BOSS

Business Name

DENA MARIE BOSS

Original Issue Date

06/09/2009

Effective Date

06/09/2009

Expiration Date

06/09/2010

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018