CAROL P JOHNSON PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000411

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

JOHNSON

Suffix

PA-C

Business Name

CAROL P JOHNSON PA-C

Original Issue Date

07/24/1990

Effective Date

07/24/1990

Expiration Date

03/01/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006