ANGELA D JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

JOHNSON

Business Name

ANGELA D JOHNSON

Original Issue Date

09/27/2012

Effective Date

03/27/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016