CLARENCE W JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001812

License Status

NOT RENEWED

Business

First Name

CLARENCE W

Last Name

JOHNSON

Business Name

CLARENCE W JOHNSON

Original Issue Date

10/28/1977

Expiration Date

11/30/1985

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/27/2005