Iowa
Professional Licensing Bureau
Shannon Lee Johnson
Physician Assistants - Physician Assistant
License number
002328
Date granted
07/26/2012
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
2300 53RD AVE STE 100 BETTENDORF IA 52722
iowalicenses.org
ID 24190426
LAST UPDATED 2024-03-04 12:55:12 UTC
LAST UPDATED 2024-03-04 12:55:12 UTC
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