JEREMY SCOTT JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136882

License Status

ACTIVE

Business

Title

First Name

JEREMY

Middle

SCOTT

Last Name

JOHNSON

Business Name

JEREMY SCOTT JOHNSON MD

Original Issue Date

12/04/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/07/2023