DIVINE GRACE JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101562

License Status

NOT RENEWED

Business

First Name

DIVINE

Middle

GRACE

Last Name

JOHNSON

Business Name

DIVINE GRACE JOHNSON

Original Issue Date

05/02/2006

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2021