ELMER WAYNE JOHNSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000218

License Status

INACTIVE

Business

First Name

ELMER WAYNE

Last Name

JOHNSON

Business Name

ELMER WAYNE JOHNSON

Expiration Date

11/30/1989

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005