Kenneth Oliver Bohannon
InactiveIllinois license 044000073
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044000073
- Status
- Inactive
- Expired
- November 30, 2007
- License holder
- Kenneth Oliver Bohannon
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Current term began
- 12/01/2005
Contact
Lebanon, IL 62254
Saint Clair County