DOUGLAS TOUSSAINT JOHNSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

INOPERATIVE

Business

First Name

DOUGLAS

Middle

TOUSSAINT

Last Name

JOHNSON

Business Name

DOUGLAS TOUSSAINT JOHNSON

Original Issue Date

06/29/2010

Effective Date

03/02/2022

Expiration Date

03/01/2024

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023