TRICIA S JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

TRICIA S

Last Name

JOHNSON

Business Name

TRICIA S JOHNSON

Original Issue Date

07/19/2011

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

ORION

State

Zip

61273

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026