DEREK SCOTT JOHNSON SR - Nursing Home Administrator License in Illinois | # 045004079

DEREK SCOTT JOHNSON SR

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004079

License Status

CANCELLED

Business

N

First Name

DEREK SCOTT

Last Name

JOHNSON SR

Business Name

DEREK SCOTT JOHNSON SR

Original Issue Date

01/22/2018

Effective Date

01/22/2018

Expiration Date

01/22/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/22/2018