ROBERT DOUGLAS JOHNSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

INOPERATIVE

Business

First Name

ROBERT

Middle

DOUGLAS

Last Name

JOHNSON

Business Name

ROBERT DOUGLAS JOHNSON

Original Issue Date

12/16/2002

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2023