TAMMY L JOHNSEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005063

License Status

INACTIVE

Business

First Name

TAMMY L

Last Name

JOHNSEN

Business Name

TAMMY L JOHNSEN

Original Issue Date

03/23/2004

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/08/2020