KATHLEEN A JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

JOHNSON

Business Name

KATHLEEN A JOHNSON

Original Issue Date

08/20/2001

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

GREENVILLE

State

Zip

62246

County

BOND

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021