KIRSTEN ANNE JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

ACTIVE

Business

First Name

KIRSTEN

Middle

ANNE

Last Name

JOHNSON

Business Name

KIRSTEN ANNE JOHNSON

Original Issue Date

07/29/2015

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026