ROBERT DOUGLAS JOHNSON - Physician Assistant License in Illinois | # 085001819

ROBERT DOUGLAS JOHNSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001819

License Status

NOT RENEWED

Business

N

First Name

ROBERT

Middle

DOUGLAS

Last Name

JOHNSON

Business Name

ROBERT DOUGLAS JOHNSON

Original Issue Date

07/23/2002

Effective Date

01/05/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025