DENISE M JOHNSON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004113

License Status

CANCELLED

Business

First Name

DENISE

Middle

Last Name

JOHNSON

Business Name

DENISE M JOHNSON

Original Issue Date

06/29/2018

Effective Date

10/09/2019

Expiration Date

10/09/2020

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/02/2019