MAXINE A JOHNSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005224

License Status

INACTIVE

Business

First Name

MAXINE A

Last Name

JOHNSON

Business Name

MAXINE A JOHNSON

Original Issue Date

12/24/1996

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

09/02/2009