DAVID S JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001845

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

JOHNSON

Business Name

DAVID S JOHNSON

Original Issue Date

02/16/1990

Expiration Date

02/16/1991

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

05/31/2005