Diana M Bohannon
InactiveIllinois license 044001779
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001779
- Status
- Inactive
- First issued
- October 28, 1977
- Expired
- November 30, 1987
- License holder
- Diana M Bohannon
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Lebanon, IL 62254
Saint Clair County