MICHELLE D JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

JOHNSON

Business Name

MICHELLE D JOHNSON

Original Issue Date

10/07/2014

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026