KIRSTEN S JOHANSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

KIRSTEN

Middle

Last Name

JOHANSON

Business Name

KIRSTEN S JOHANSON

Original Issue Date

04/28/2011

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

BRODHEAD

State

Zip

53520

County

WISCONSIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026