TIMOTHY WAYNE JOHNSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

WAYNE

Last Name

JOHNSON

Business Name

TIMOTHY WAYNE JOHNSON

Original Issue Date

12/08/2011

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026