KAITLYN ANN JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

KAITLYN

Middle

ANN

Last Name

JOHNSON

Business Name

KAITLYN ANN JOHNSON

Original Issue Date

12/16/2024

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026