JOHNATHAN B REDDICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023782

License Status

NOT RENEWED

Business

First Name

JOHNATHAN

Middle

Last Name

REDDICK

Business Name

JOHNATHAN B REDDICK

Original Issue Date

08/10/2021

Effective Date

07/16/2022

Expiration Date

06/30/2024

City

BARDWELL

State

Zip

42023

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/05/2025