JOSHUA RICHARD JOHNSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

INOPERATIVE

Business

First Name

JOSHUA

Middle

RICHARD

Last Name

JOHNSON

Business Name

JOSHUA RICHARD JOHNSON

Original Issue Date

11/12/2010

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2018