RYAN ANTHONY JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

RYAN

Middle

ANTHONY

Last Name

JOHNSON

Business Name

RYAN ANTHONY JOHNSON

Original Issue Date

04/07/2025

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

METAMORA

State

Zip

61548

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2026