TARA JOHANNESEN - Advanced Practice Nurse License in Illinois | # 209031483

TARA JOHANNESEN

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031483

License Status

ACTIVE

Business

N

First Name

TARA

Last Name

JOHANNESEN

Business Name

TARA JOHANNESEN

Original Issue Date

01/22/2025

Effective Date

01/22/2025

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026