TIMOTHY ALLEN JOHNSON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003740

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

ALLEN

Last Name

JOHNSON

Business Name

TIMOTHY ALLEN JOHNSON

Original Issue Date

08/20/2013

Effective Date

08/20/2013

Expiration Date

08/20/2014

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

03/13/2015