MELANIE E JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

MELANIE

Middle

Last Name

JOHNSON

Business Name

MELANIE E JOHNSON

Original Issue Date

03/11/2022

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026