RANDALL O JOHNSON - Nursing Home Administrator License in Illinois | # 045001898

RANDALL O JOHNSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001898

License Status

NOT RENEWED

Business

N

First Name

RANDALL O

Last Name

JOHNSON

Business Name

RANDALL O JOHNSON

Original Issue Date

07/18/1990

Expiration Date

02/06/1998

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005