JOSHUA RICHARD JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003901

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

RICHARD

Last Name

JOHNSON

Business Name

JOSHUA RICHARD JOHNSON

Original Issue Date

09/27/2010

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/10/2018