TIMOTHY WAYNE JOHNSON - Physician Assistant License in Illinois | # 085004159

TIMOTHY WAYNE JOHNSON

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004159

License Status

ACTIVE

Business

N

First Name

TIMOTHY

Middle

WAYNE

Last Name

JOHNSON

Business Name

TIMOTHY WAYNE JOHNSON

Original Issue Date

09/27/2011

Effective Date

02/16/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2026