ANDREA M JOHNSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

INOPERATIVE

Business

First Name

ANDREA

Middle

Last Name

JOHNSON

Business Name

ANDREA M JOHNSON

Original Issue Date

09/30/2021

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

04/05/2025