ALVERY JOHNSON JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000109

License Status

NOT RENEWED

Business

First Name

ALVERY

Last Name

JOHNSON JR

Business Name

ALVERY JOHNSON JR

Original Issue Date

01/31/1981

Effective Date

01/31/1981

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006