License holder summary

JERRY J JOHNSON is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for JERRY J JOHNSON is 3630 BURT ST. OMAHA NE 68131. This licensed professional license is not current. The license was granted 12/22/2004 and expired on 09/30/2007.

Iowa

Professional Licensing Bureau

JERRY J JOHNSON
Physician Assistants - Physician Assistant
License number
001624
Date granted
12/22/2004
Date expires
09/30/2007
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
3630 BURT ST. OMAHA NE 68131
iowalicenses.org
ID 24188911
LAST UPDATED 2024-03-24 09:54:11 UTC

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