RANDALL O JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001898

License Status

NOT RENEWED

Business

First Name

RANDALL O

Last Name

JOHNSON

Business Name

RANDALL O JOHNSON

Original Issue Date

07/18/1990

Expiration Date

02/06/1998

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

05/31/2005