JACKIE KAY JOHNSON Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045015002

License Status

ACTIVE

Business

First Name

JACKIE

Middle

KAY

Last Name

JOHNSON

Business Name

JACKIE KAY JOHNSON

Original Issue Date

12/30/2025

Effective Date

12/30/2025

Expiration Date

12/30/2026

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

12/30/2025