PARKER BRANDT JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

PARKER

Middle

BRANDT

Last Name

JOHNSON

Business Name

PARKER BRANDT JOHNSON

Original Issue Date

02/23/2021

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2026