VAN E JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001662

License Status

NOT RENEWED

Business

First Name

VAN E

Last Name

JOHNSON

Business Name

VAN E JOHNSON

Original Issue Date

06/13/1977

Expiration Date

11/30/1983

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005