ANNE ELIZABETH JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003063

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

ELIZABETH

Last Name

JOHNSON

Business Name

ANNE ELIZABETH JOHNSON

Original Issue Date

09/21/2007

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018