DONALD RAY JOHNSON DO 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

First Name

DONALD RAY

Last Name

JOHNSON

Suffix

Business Name

DONALD RAY JOHNSON DO

Original Issue Date

03/12/1982

Effective Date

03/12/1982

Expiration Date

09/01/1982

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006