NICHOLAS JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INACTIVE

Business

First Name

NICHOLAS

Last Name

JOHNSON

Business Name

NICHOLAS JOHNSON

Original Issue Date

06/03/2022

Effective Date

06/03/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60620

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2022