LISA M JOHANNES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005570

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

JOHANNES

Business Name

LISA M JOHANNES

Original Issue Date

12/28/1998

Effective Date

02/03/2000

Expiration Date

11/30/1999

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/27/2005