JOHANNAH A ISAIA

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****84

ACTIVE

N

JOHANNAH

A

ISAIA

JOHANNAH A ISAIA

10/30/2003

02/27/2026

03/01/2028

NORMAL

IL

61701

MCLEAN

II III IV V

N

02/27/2026