GLENNON LEE JOHNSTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

GLENNON

Middle

LEE

Last Name

JOHNSTON

Business Name

GLENNON LEE JOHNSTON

Original Issue Date

10/11/2012

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026