MATTHEW D JOHNSON - Nursing Home Administrator License in Illinois | # 045003219

MATTHEW D JOHNSON

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003219

License Status

EXPIRED

Business

N

First Name

MATTHEW

Middle

D

Last Name

JOHNSON

Business Name

MATTHEW D JOHNSON

Original Issue Date

01/23/2007

Effective Date

01/23/2007

Expiration Date

01/23/2008

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018