PARKER BRANDT JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008197

License Status

ACTIVE

Business

First Name

PARKER

Middle

BRANDT

Last Name

JOHNSON

Business Name

PARKER BRANDT JOHNSON

Original Issue Date

02/05/2021

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2026