KATRINA MARIE JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

MARIE

Last Name

JOHNSON

Business Name

KATRINA MARIE JOHNSON

Original Issue Date

11/05/2014

Effective Date

05/12/2022

Expiration Date

06/30/2024

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025