JACQUELINE JOHNSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005392

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

JOHNSON

Business Name

JACQUELINE JOHNSON

Original Issue Date

12/04/1997

Effective Date

09/12/2011

Expiration Date

11/30/2013

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

09/05/2013