MORIAH JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

MORIAH

Last Name

JOHNSON

Business Name

MORIAH JOHNSON

Original Issue Date

03/25/2020

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026