JERRILYN JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004111

License Status

NOT RENEWED

Business

First Name

JERRILYN

Last Name

JOHNSON

Business Name

JERRILYN JOHNSON

Original Issue Date

08/25/2011

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

MOUNT PLEASANT

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/24/2015