PATRICIA L JOHNSON MINER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

PATRICIA L

Last Name

JOHNSON MINER

Business Name

PATRICIA L JOHNSON MINER

Original Issue Date

02/10/2004

Effective Date

04/15/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016