NICOLE MARIE RUNYAN-JOHANSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023440

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

RUNYAN-JOHANSON

Business Name

NICOLE MARIE RUNYAN-JOHANSON

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

04/07/2021