CRYSTAL L JOHNSON - Physician Assistant License in Illinois | # 085000361

CRYSTAL L JOHNSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000361

License Status

NOT RENEWED

Business

N

First Name

CRYSTAL

Middle

L

Last Name

JOHNSON

Business Name

CRYSTAL L JOHNSON

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

03/01/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006