HEATHER MARIE JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

HEATHER

Middle

MARIE

Last Name

JOHNSON

Business Name

HEATHER MARIE JOHNSON

Original Issue Date

12/12/2016

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

ENFIELD

State

Zip

62835

County

WHITE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026