SAMANTHA REBECCA JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

REBECCA

Last Name

JOHNSON

Business Name

SAMANTHA REBECCA JOHNSON

Original Issue Date

10/19/2012

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

AURORA

State

Zip

60506

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026