JESSICA TASHAY JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

TASHAY

Last Name

JOHNSON

Business Name

JESSICA TASHAY JOHNSON

Original Issue Date

01/15/2021

Effective Date

01/15/2021

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022