VALERIE LATRICE 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

VALERIE

Middle

LATRICE

Last Name

JOHNSON

Business Name

VALERIE LATRICE JOHNSON

Original Issue Date

12/20/2021

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025