IDA M JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017679

License Status

INACTIVE

Business

First Name

IDA M

Last Name

JOHNSON

Business Name

IDA M JOHNSON

Original Issue Date

01/18/1967

Effective Date

11/18/2004

Expiration Date

01/31/2007

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

11/03/2006