TETI MARYANN JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

TETI

Middle

MARYANN

Last Name

JOHNSON

Business Name

TETI MARYANN JOHNSON

Original Issue Date

11/16/2015

Effective Date

11/16/2015

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016