SUSAN K JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

JOHNSON

Business Name

SUSAN K JOHNSON

Original Issue Date

05/05/2016

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021