SARAH CARLOTA JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003336

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

CARLOTA

Last Name

JOHNSON

Business Name

SARAH CARLOTA JOHNSON

Original Issue Date

10/01/2008

Effective Date

12/19/2011

Expiration Date

03/01/2014

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014