STEPHANIE A JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090476

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

JOHNSON

Business Name

STEPHANIE A JOHNSON

Original Issue Date

10/14/2004

Effective Date

12/10/2022

Expiration Date

01/31/2025

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025