CARL D JOHNSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003527

License Status

INACTIVE

Business

First Name

CARL D

Last Name

JOHNSON

Business Name

CARL D JOHNSON

Original Issue Date

04/09/1988

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/02/2009