DERICK P JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

INACTIVE

Business

First Name

DERICK

Middle

Last Name

JOHNSON

Business Name

DERICK P JOHNSON

Original Issue Date

05/18/2021

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

01/28/2025