SARAH CARLOTA JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

CARLOTA

Last Name

JOHNSON

Business Name

SARAH CARLOTA JOHNSON

Original Issue Date

12/12/2008

Effective Date

02/04/2010

Expiration Date

03/01/2012

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/16/2012