TERESA JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

TERESA

Last Name

JOHNSON

Business Name

TERESA JOHNSON

Original Issue Date

09/08/2017

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026