License holder summary

SUSAN MARIE JOHANNSEN is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for SUSAN MARIE JOHANNSEN is 130 JUNIPER CT NORTH LIBERTY IA 52317. This licensed professional license is not current. The license was granted 01/08/1996 and expired on 09/30/2007.

Iowa

Professional Licensing Bureau

SUSAN MARIE JOHANNSEN
Physician Assistants - Physician Assistant
License number
001015
Date granted
01/08/1996
Date expires
09/30/2007
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
130 JUNIPER CT NORTH LIBERTY IA 52317
iowalicenses.org
ID 24190613
LAST UPDATED 2024-02-28 08:18:14 UTC

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