JOHANNA R ZANDSTRA Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003225

License Status

EXPIRED

Business

First Name

JOHANNA

Middle

Last Name

ZANDSTRA

Business Name

JOHANNA R ZANDSTRA

Original Issue Date

02/16/2007

Effective Date

02/16/2007

Expiration Date

02/16/2008

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018