SHANNON LEE JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003168

License Status

ACTIVE

Business

First Name

SHANNON

Middle

LEE

Last Name

JOHNSON

Business Name

SHANNON LEE JOHNSON

Original Issue Date

12/12/2007

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/09/2026