JERRILYN JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

JERRILYN

Last Name

JOHNSON

Business Name

JERRILYN JOHNSON

Original Issue Date

11/01/2011

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

04/24/2015