SHANNON MARIE 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

SHANNON

Middle

MARIE

Last Name

JOHNSON

Business Name

SHANNON MARIE JOHNSON

Original Issue Date

07/18/2025

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026