ANDREW L JOHNSON - Nursing Home Administrator License in Illinois | # 045002559

ANDREW L JOHNSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002559

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

L

Last Name

JOHNSON

Business Name

ANDREW L JOHNSON

Original Issue Date

08/21/1998

Effective Date

02/04/2000

Expiration Date

08/21/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005