JOHNNIE DOMINICA JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

INACTIVE

Business

First Name

JOHNNIE

Middle

DOMINICA

Last Name

JOHNSON

Business Name

JOHNNIE DOMINICA JOHNSON

Original Issue Date

03/02/2015

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2020