LISA M JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006363

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

JOHNSON

Business Name

LISA M JOHNSON

Original Issue Date

11/29/2004

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

NEW HOLLAND

State

Zip

62671

County

LOGAN

Ever Disciplined

LastModifiedDate

01/05/2012