COLIN WAYNE JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004903

License Status

NOT RENEWED

Business

First Name

COLIN

Middle

WAYNE

Last Name

JOHNSON

Business Name

COLIN WAYNE JOHNSON

Original Issue Date

10/16/2013

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018