AMANDA JEAN JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

ACTIVE

Business

First Name

AMANDA

Middle

JEAN

Last Name

JOHNSON

Business Name

AMANDA JEAN JOHNSON

Original Issue Date

06/01/2017

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026