NICOLE ALLISON JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

ACTIVE

Business

First Name

NICOLE

Middle

ALLISON

Last Name

JOHNSON

Business Name

NICOLE ALLISON JOHNSON

Original Issue Date

03/14/2007

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026

Case Number

2007006400

Action

Probation

Discipline Start Date

05/20/2008

Discipline End Date

06/15/2010

Discipline Reason

Violations of the Illinois Physician Assistant Practice Act and Illinois Controlled Substance Act.