BETH DIAN JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108425

License Status

NOT RENEWED

Business

First Name

BETH DIAN

Last Name

JOHNSON

Business Name

BETH DIAN JOHNSON

Original Issue Date

12/06/1963

Effective Date

06/01/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012