STEPHEN H JOHNSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002661

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

JOHNSON

Business Name

STEPHEN H JOHNSON

Original Issue Date

11/23/1999

Effective Date

01/05/2001

Expiration Date

11/23/2000

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005