REBECCA MAUREEN JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

MAUREEN

Last Name

JOHNSON

Business Name

REBECCA MAUREEN JOHNSON

Original Issue Date

01/25/2005

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/10/2014