LISA M JOHNSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005329

License Status

INACTIVE

Business

First Name

LISA M

Last Name

JOHNSON

Business Name

LISA M JOHNSON

Original Issue Date

09/02/1997

Effective Date

09/28/2001

Expiration Date

11/30/2001

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005