JUSTIN RICHARD JOHNSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126238

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

RICHARD

Last Name

JOHNSON

Business Name

JUSTIN RICHARD JOHNSON

Original Issue Date

07/12/2010

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

07/28/2023