TARA L JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

JOHNSON

Business Name

TARA L JOHNSON

Original Issue Date

02/28/2017

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026