ANNE ELIZABETH JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

ELIZABETH

Last Name

JOHNSON

Business Name

ANNE ELIZABETH JOHNSON

Original Issue Date

10/15/2010

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018