ROLAND G BUSHOR Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003611

License Status

EXPIRED

Business

First Name

ROLAND

Middle

Last Name

BUSHOR

Business Name

ROLAND G BUSHOR

Original Issue Date

10/25/2011

Effective Date

10/25/2011

Expiration Date

10/25/2012

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/04/2018