MEGAN M JOHNSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

MEGAN M

Last Name

JOHNSON

Business Name

MEGAN M JOHNSON

Original Issue Date

10/02/2012

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2025