MARISA PROTASEL JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

MARISA

Middle

PROTASEL

Last Name

JOHNSON

Business Name

MARISA PROTASEL JOHNSON

Original Issue Date

06/17/2020

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026