CARL CONNERY JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

CARL

Middle

CONNERY

Last Name

JOHNSON

Business Name

CARL CONNERY JOHNSON MD

Original Issue Date

10/16/2013

Effective Date

12/10/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017