AMANDA M JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

JOHNSON

Business Name

AMANDA M JOHNSON

Original Issue Date

01/10/2005

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020