BRENT C JOHNSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108422

License Status

ACTIVE

Business

First Name

BRENT

Middle

Last Name

JOHNSON

Business Name

BRENT C JOHNSON

Original Issue Date

01/10/2003

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/03/2023