JOHNSON VACHACHIRA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

JOHNSON

Last Name

VACHACHIRA

Business Name

JOHNSON VACHACHIRA

Original Issue Date

10/05/2015

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2026