ERIC DAVID JOHNSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

INOPERATIVE

Business

First Name

ERIC

Middle

DAVID

Last Name

JOHNSON

Business Name

ERIC DAVID JOHNSON

Original Issue Date

07/15/2014

Effective Date

03/09/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018