MARTHA LOU BOGGUSS Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003807

License Status

CANCELLED

Business

First Name

MARTHA

Middle

LOU

Last Name

BOGGUSS

Business Name

MARTHA LOU BOGGUSS

Original Issue Date

07/15/2014

Effective Date

07/15/2014

Expiration Date

07/15/2015

City

LEWISTOWN

State

Zip

63452

Ever Disciplined

LastModifiedDate

03/10/2014