MATTHEW D JOHNSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003219

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

JOHNSON

Business Name

MATTHEW D JOHNSON

Original Issue Date

01/23/2007

Effective Date

01/23/2007

Expiration Date

01/23/2008

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018