SHANE EDWIN JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315051

License Status

INACTIVE

Business

First Name

SHANE

Middle

EDWIN

Last Name

JOHNSON

Business Name

SHANE EDWIN JOHNSON

Original Issue Date

07/27/1999

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/08/2020