License holder summary

NICOLE MARIE JOHNSON is a Physician Assistants - Licensed Physician Assistant licensed to practice in Alaska. The address on file for NICOLE MARIE JOHNSON is 1911 EAST REZANOF DR KODIAK AK 99615. This licensed professional license is current. The license was granted 05/19/2011 and expired on 12/31/2012.

Alaska

Division of Corporations, Business and Professional Licensing

NICOLE MARIE JOHNSON
Physician Assistants - Licensed Physician Assistant
License number
972
Date granted
05/19/2011
Date expires
12/31/2012
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
1911 EAST REZANOF DR KODIAK AK 99615
alaskalicensing.com
ID 20414145
LAST UPDATED 2026-04-29 14:04:44 UTC

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