JACOB EDWARD JOHNSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209032261

License Status

ACTIVE

Business

First Name

JACOB

Middle

EDWARD

Last Name

JOHNSON

Business Name

JACOB EDWARD JOHNSON

Original Issue Date

04/22/2025

Effective Date

04/22/2025

Expiration Date

05/31/2026

City

MUNSTER

State

Zip

46321

Ever Disciplined

LastModifiedDate

03/02/2026