DEREK SCOTT JOHNSON SR Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004079

License Status

CANCELLED

Business

First Name

DEREK SCOTT

Last Name

JOHNSON SR

Business Name

DEREK SCOTT JOHNSON SR

Original Issue Date

01/22/2018

Effective Date

01/22/2018

Expiration Date

01/22/2019

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/22/2018