HEATHER N JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

JOHNSON

Business Name

HEATHER N JOHNSON

Original Issue Date

11/17/2020

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026