MICHELE NICOLE JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

MICHELE

Middle

NICOLE

Last Name

JOHNSON

Business Name

MICHELE NICOLE JOHNSON

Original Issue Date

10/31/2024

Effective Date

10/31/2024

Expiration Date

03/01/2026

City

PLAINFIELD

State

Zip

60586

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025