DAVID W JOHANSEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002376

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

JOHANSEN

Business Name

DAVID W JOHANSEN

Original Issue Date

05/29/1981

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

WALNUT

State

Zip

61376

County

BUREAU

Ever Disciplined

LastModifiedDate

01/04/2008