SHANNON LEE JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

SHANNON

Middle

LEE

Last Name

JOHNSON

Business Name

SHANNON LEE JOHNSON

Original Issue Date

05/27/2008

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026