LAUREN KAY JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

LAUREN

Middle

KAY

Last Name

JOHNSON

Business Name

LAUREN KAY JOHNSON

Original Issue Date

01/31/2022

Effective Date

02/13/2024

Expiration Date

03/01/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025