CASSANDRA CAROLINE JOHNSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007566

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

CAROLINE

Last Name

JOHNSON

Business Name

CASSANDRA CAROLINE JOHNSON

Original Issue Date

02/20/2020

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

BROOKFIELD

State

Zip

53045

Ever Disciplined

LastModifiedDate

07/27/2022