MOLLY T JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

JOHNSON

Business Name

MOLLY T JOHNSON

Original Issue Date

09/27/2010

Effective Date

09/27/2010

Expiration Date

05/31/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/10/2012