KELLY E JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009939

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

JOHNSON

Business Name

KELLY E JOHNSON

Original Issue Date

10/22/2012

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/09/2025