MARVIN E JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000993

License Status

NOT RENEWED

Business

First Name

MARVIN E

Last Name

JOHNSON

Business Name

MARVIN E JOHNSON

Original Issue Date

03/22/1973

Expiration Date

11/30/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005