BAILEY M JOHNSTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

BAILEY

Middle

Last Name

JOHNSTON

Business Name

BAILEY M JOHNSTON

Original Issue Date

09/01/2022

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

MOUNT VERNON

State

Zip

62864

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026