ERIC DARREN JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007640

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

DARREN

Last Name

JOHNSON

Business Name

ERIC DARREN JOHNSON

Original Issue Date

04/20/2020

Effective Date

04/20/2020

Expiration Date

03/01/2022

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022