THOMAS C JOHNSRUD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004780

License Status

INACTIVE

Business

First Name

THOMAS C

Last Name

JOHNSRUD

Business Name

THOMAS C JOHNSRUD

Original Issue Date

09/21/1994

Effective Date

12/26/2003

Expiration Date

11/30/2003

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/11/2005