TODD RICHARD JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012564

License Status

INACTIVE

Business

First Name

TODD

Middle

RICHARD

Last Name

JOHNSON

Business Name

TODD RICHARD JOHNSON

Original Issue Date

02/06/2015

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2024