ANGELA D JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009641

License Status

INACTIVE

Business

First Name

ANGELA

Middle

Last Name

JOHNSON

Business Name

ANGELA D JOHNSON

Original Issue Date

07/17/2012

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/21/2018