AMANDA M JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005412

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

JOHNSON

Business Name

AMANDA M JOHNSON

Original Issue Date

12/15/2004

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020