JOHNNY TERRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006972

License Status

ACTIVE

Business

First Name

JOHNNY

Last Name

TERRY

Business Name

JOHNNY TERRY

Original Issue Date

03/12/2019

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

LAKE WORTH

State

Zip

33647

Ever Disciplined

LastModifiedDate

01/06/2026