THOMAS W JOHNSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005153

License Status

INACTIVE

Business

First Name

THOMAS W

Last Name

JOHNSON

Business Name

THOMAS W JOHNSON

Original Issue Date

08/26/1996

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/02/2009