BRIAN D JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

JOHNSON

Business Name

BRIAN D JOHNSON

Original Issue Date

03/15/2012

Effective Date

03/15/2012

Expiration Date

05/31/2014

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

07/03/2014