JACQUELINE JOHNSON - Nursing Home Administrator License in Illinois | # 045002435

JACQUELINE JOHNSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002435

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Last Name

JOHNSON

Business Name

JACQUELINE JOHNSON

Original Issue Date

12/26/1996

Expiration Date

12/24/1997

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005