KELLY E JOHANSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027053

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

JOHANSON

Business Name

KELLY E JOHANSON

Original Issue Date

04/03/2023

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/03/2026