STEPHANIE M JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

JOHNSON

Business Name

STEPHANIE M JOHNSON

Original Issue Date

11/05/2023

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026