REBECCA LEE JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

REBECCA

Middle

LEE

Last Name

JOHNSON

Business Name

REBECCA LEE JOHNSON

Original Issue Date

10/23/2012

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2026