ALICIA JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002529

License Status

NOT RENEWED

Business

First Name

ALICIA

Last Name

JOHNSON

Business Name

ALICIA JOHNSON

Original Issue Date

08/09/2005

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025