SHANE PATRICK JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041494993

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

PATRICK

Last Name

JOHNSON

Business Name

SHANE PATRICK JOHNSON

Original Issue Date

05/15/2020

Effective Date

05/15/2020

Expiration Date

08/31/2022

City

COLUMBIA

State

Zip

65203

Ever Disciplined

LastModifiedDate

10/14/2022