CANDY S 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

CANDY S

Last Name

JOHNSON

Business Name

CANDY S JOHNSON

Original Issue Date

08/28/2008

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

FARMINGTON

State

Zip

61531

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022