DEREK SCOTT JOHNSON SR Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011567

License Status

INACTIVE

Business

First Name

DEREK SCOTT

Last Name

JOHNSON SR

Business Name

DEREK SCOTT JOHNSON SR

Original Issue Date

04/18/2018

Effective Date

09/26/2019

Expiration Date

02/28/2022

City

MACEDONIA

State

Zip

62860

County

FRANKLIN

Ever Disciplined

LastModifiedDate

11/23/2021