MARY C JOHANSEN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

INOPERATIVE

Business

First Name

MARY

Middle

Last Name

JOHANSEN

Business Name

MARY C JOHANSEN

Original Issue Date

09/23/2020

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

03/19/2026