AMY JOANN JOHN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

AMY

Middle

JOANN

Last Name

JOHN

Business Name

AMY JOANN JOHN

Original Issue Date

04/14/2009

Effective Date

03/01/2010

Expiration Date

03/01/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

04/11/2012