MEGAN PAMELA JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003910

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

PAMELA

Last Name

JOHNSON

Business Name

MEGAN PAMELA JOHNSON

Original Issue Date

09/29/2010

Effective Date

02/28/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014