NICOLE MARIE RUNYAN-JOHANSON - Advanced Practice Nurse License in Illinois | # 209023440

NICOLE MARIE RUNYAN-JOHANSON

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023440

License Status

INACTIVE

Business

N

First Name

NICOLE

Middle

MARIE

Last Name

RUNYAN-JOHANSON

Business Name

NICOLE MARIE RUNYAN-JOHANSON

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

05/31/2022

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

04/07/2021