KATHLEEN DIANE JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

KATHLEEN DIANE

Last Name

JOHNSON

Business Name

KATHLEEN DIANE JOHNSON

Original Issue Date

07/27/2001

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026