JUSTIN RICHARD JOHNSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

RICHARD

Last Name

JOHNSON

Business Name

JUSTIN RICHARD JOHNSON

Original Issue Date

08/26/2010

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023