NEAL JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

NEAL

Last Name

JOHNSON

Business Name

NEAL JOHNSON

Original Issue Date

11/05/2019

Effective Date

08/05/2022

Expiration Date

06/30/2024

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025