David W Johansen
ExpiredIllinois license 044002376
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044002376
- Status
- Expired (Not Renewed)
- First issued
- May 29, 1981
- Expired
- November 30, 2007
- License holder
- David W Johansen
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Current term began
- 12/01/2005
Contact
Walnut, IL 61376
Bureau County