PATRICK RYAN JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

ACTIVE

Business

First Name

PATRICK

Middle

RYAN

Last Name

JOHNSON

Business Name

PATRICK RYAN JOHNSON

Original Issue Date

11/10/2021

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025