KAROLYN GAYLE JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

INACTIVE

Business

First Name

KAROLYN

Middle

GAYLE

Last Name

JOHNSON

Business Name

KAROLYN GAYLE JOHNSON

Original Issue Date

09/22/2018

Effective Date

09/23/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2020