ALICIA JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

ALICIA

Last Name

JOHNSON

Business Name

ALICIA JOHNSON

Original Issue Date

05/04/2016

Effective Date

01/04/2022

Expiration Date

03/01/2024

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025