SHANE EDWIN JOHNSON - Registered Nurse License in Illinois | # 041315051

SHANE EDWIN JOHNSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315051

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2020