DERICK P JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022844

License Status

INACTIVE

Business

First Name

DERICK

Middle

Last Name

JOHNSON

Business Name

DERICK P JOHNSON

Original Issue Date

02/09/2021

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60628

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/28/2025