MIKA LYNN JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

INACTIVE

Business

First Name

MIKA

Middle

LYNN

Last Name

JOHNSON

Business Name

MIKA LYNN JOHNSON

Original Issue Date

05/26/2017

Effective Date

09/17/2020

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

09/17/2020