JOHNNIE DOMINICA JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012407

License Status

INACTIVE

Business

First Name

JOHNNIE

Middle

DOMINICA

Last Name

JOHNSON

Business Name

JOHNNIE DOMINICA JOHNSON

Original Issue Date

01/06/2015

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2020