KELLY E JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

JOHNSON

Business Name

KELLY E JOHNSON

Original Issue Date

02/01/2013

Effective Date

05/30/2025

Expiration Date

05/31/2026

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/09/2025