GLENNON LEE JOHNSTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004497

License Status

ACTIVE

Business

First Name

GLENNON

Middle

LEE

Last Name

JOHNSTON

Business Name

GLENNON LEE JOHNSTON

Original Issue Date

10/11/2012

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

02/04/2026