TAWANTA LASHAE JOHNSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010465

License Status

NOT RENEWED

Business

First Name

TAWANTA

Middle

LASHAE

Last Name

JOHNSON

Business Name

TAWANTA LASHAE JOHNSON

Original Issue Date

05/29/2013

Effective Date

05/24/2016

Expiration Date

05/31/2018

City

BRIDGETON

State

Zip

63044

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/19/2018