JEREMIAH DAVID JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347044

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

DAVID

Last Name

JOHNSON

Business Name

JEREMIAH DAVID JOHNSON

Original Issue Date

08/03/2005

Effective Date

08/03/2005

Expiration Date

05/31/2008

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2008