ANDREW JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

ANDREW

Last Name

JOHNSON

Business Name

ANDREW JOHNSON MD

Original Issue Date

11/26/2025

Effective Date

11/26/2025

Expiration Date

07/31/2026

City

BOISE

State

Zip

83702

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/26/2025