MARY K JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037104

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

JOHNSON

Business Name

MARY K JOHNSON

Original Issue Date

06/10/1975

Effective Date

01/11/2021

Expiration Date

01/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/31/2023