LIESBETH KATHLEEN BOLYARD Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004097

License Status

EXPIRED

Business

First Name

LIESBETH

Middle

KATHLEEN

Last Name

BOLYARD

Business Name

LIESBETH KATHLEEN BOLYARD

Original Issue Date

03/06/2018

Effective Date

03/25/2019

Expiration Date

03/25/2020

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

11/19/2020