SUSAN C JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010395

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

JOHNSON

Business Name

SUSAN C JOHNSON

Original Issue Date

10/03/2008

Effective Date

09/30/2019

Expiration Date

02/28/2022

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

07/27/2022