ADELAIDE NOELLE JOHANSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

ACTIVE

Business

First Name

ADELAIDE

Middle

NOELLE

Last Name

JOHANSON

Business Name

ADELAIDE NOELLE JOHANSON

Original Issue Date

10/23/2021

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026