GARY T JOHANSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002218

License Status

NOT RENEWED

Business

First Name

GARY T

Last Name

JOHANSON

Business Name

GARY T JOHANSON

Original Issue Date

06/16/1980

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2005