JOHNNY ROBERT LINDQUIST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

JOHNNY

Middle

ROBERT

Last Name

LINDQUIST

Business Name

JOHNNY ROBERT LINDQUIST MD

Original Issue Date

09/21/2020

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/13/2023