SAMUEL L JOHNSTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

JOHNSTON

Suffix

Business Name

SAMUEL L JOHNSTON MD

Original Issue Date

07/05/2005

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

IOWA CITY

State

Zip

52242

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023