TETI MARYANN JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012891

License Status

ACTIVE

Business

First Name

TETI

Middle

MARYANN

Last Name

JOHNSON

Business Name

TETI MARYANN JOHNSON

Original Issue Date

06/22/2015

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2026