SUSAN BUYSE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

SUSAN BUYSE

Last Name

JOHNSON

Suffix

Business Name

SUSAN BUYSE JOHNSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

CENTRALIA

State

Zip

62801

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006