TAWANTA LASHAE JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

TAWANTA

Middle

LASHAE

Last Name

JOHNSON

Business Name

TAWANTA LASHAE JOHNSON

Original Issue Date

03/06/2014

Effective Date

03/06/2014

Expiration Date

05/31/2016

City

BRIDGETON

State

Zip

63044

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016