TODD RICHARD JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

INACTIVE

Business

First Name

TODD

Middle

RICHARD

Last Name

JOHNSON

Business Name

TODD RICHARD JOHNSON

Original Issue Date

04/10/2017

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2024