ADELAIDE NOELLE JOHANSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008390

License Status

ACTIVE

Business

First Name

ADELAIDE

Middle

NOELLE

Last Name

JOHANSON

Business Name

ADELAIDE NOELLE JOHANSON

Original Issue Date

06/23/2021

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/17/2026