ROBERT J JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004018

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

JOHNSON

Business Name

ROBERT J JOHNSON

Original Issue Date

03/31/2011

Effective Date

03/27/2014

Expiration Date

03/01/2016

City

PEYTON

State

Zip

80831

Ever Disciplined

LastModifiedDate

09/15/2016