KENNETH W JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002877

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

JOHNSON

Business Name

KENNETH W JOHNSON

Original Issue Date

03/28/1984

Expiration Date

11/30/1985

City

MT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

05/27/2005