STACIE LYNN JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002273

License Status

ACTIVE

Business

First Name

STACIE

Middle

LYNN

Last Name

JOHNSON

Business Name

STACIE LYNN JOHNSON

Original Issue Date

07/29/2004

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/03/2026