TAYLOR M JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INACTIVE

Business

First Name

TAYLOR

Middle

Last Name

JOHNSON

Business Name

TAYLOR M JOHNSON

Original Issue Date

12/01/2021

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2025