BRIAN D JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

BRIAN

Middle

Last Name

JOHNSON

Business Name

BRIAN D JOHNSON

Original Issue Date

07/16/2012

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/01/2024