DAVID F JOHANNIDES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001943

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

JOHANNIDES

Business Name

DAVID F JOHANNIDES

Original Issue Date

10/25/1990

Expiration Date

12/24/1992

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/31/2005