KIMBERLY D JOHNSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004355

License Status

EXPIRED

Business

First Name

KIMBERLY

Middle

Last Name

JOHNSON

Business Name

KIMBERLY D JOHNSON

Original Issue Date

07/06/2021

Effective Date

07/06/2021

Expiration Date

07/06/2022

City

CAMP POINT

State

Zip

62320

County

ADAMS

Ever Disciplined

LastModifiedDate

02/15/2023