SUSAN K JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002109

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

JOHNSON

Business Name

SUSAN K JOHNSON

Original Issue Date

08/05/1992

Expiration Date

06/11/1993

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/31/2005