License holder summary

MARK S JOHNSON is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for MARK S JOHNSON is 510 FAHRNEY BLVD OTTUMWA IA 52501. This licensed professional license is not current. The license was granted 07/26/2004 and expired on 09/30/2010.

Iowa

Professional Licensing Bureau

MARK S JOHNSON
Physician Assistants - Physician Assistant
License number
001577
Date granted
07/26/2004
Date expires
09/30/2010
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
510 FAHRNEY BLVD OTTUMWA IA 52501
iowalicenses.org
ID 24189630
LAST UPDATED 2024-03-11 03:59:56 UTC

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