CAITLIN G JOHNSTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

Last Name

JOHNSTON

Business Name

CAITLIN G JOHNSTON

Original Issue Date

07/02/2015

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/16/2018