BRIAN STEWART JOHNSTON 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

BRIAN

Middle

STEWART

Last Name

JOHNSTON

Business Name

BRIAN STEWART JOHNSTON

Original Issue Date

12/23/2002

Effective Date

12/23/2002

Expiration Date

03/01/2008

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

12/04/2006