JOHANNA R ZANDSTRA - Nursing Home Administrator License in Illinois | # 045003225

JOHANNA R ZANDSTRA

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003225

License Status

EXPIRED

Business

N

First Name

JOHANNA

Middle

R

Last Name

ZANDSTRA

Business Name

JOHANNA R ZANDSTRA

Original Issue Date

02/16/2007

Effective Date

02/16/2007

Expiration Date

02/16/2008

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018