JOHANNA M COVERSTONE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001643

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

Last Name

COVERSTONE

Business Name

JOHANNA M COVERSTONE

Original Issue Date

08/17/1988

Expiration Date

08/15/1989

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/31/2005