ANDREW L JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002559

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

JOHNSON

Business Name

ANDREW L JOHNSON

Original Issue Date

08/21/1998

Effective Date

02/04/2000

Expiration Date

08/21/1999

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/31/2005