TIMOTHY WAYNE JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004159

License Status

ACTIVE

Business

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

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

02/16/2026