JERRILYN JOHNSON - Physician Assistant License in Wisconsin | # 085004111

JERRILYN JOHNSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004111

License Status

NOT RENEWED

Business

N

First Name

JERRILYN

Last Name

JOHNSON

Business Name

JERRILYN JOHNSON

Original Issue Date

08/25/2011

Effective Date

02/16/2012

Expiration Date

03/01/2014

State

WI

Ever Disciplined

N

LastModifiedDate

04/24/2015