JEFFREY D JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005650

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

Last Name

JOHNSON

Business Name

JEFFREY D JOHNSON

Original Issue Date

09/21/2015

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/04/2025