KIMBERLY DAWN JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011941

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

DAWN

Last Name

JOHNSON

Business Name

KIMBERLY DAWN JOHNSON

Original Issue Date

08/20/2022

Effective Date

10/06/2023

Expiration Date

11/30/2025

City

QUINCY

State

Zip

62301

Ever Disciplined

LastModifiedDate

03/05/2026