EVAN DEAN JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

EVAN

Middle

DEAN

Last Name

JOHNSON

Business Name

EVAN DEAN JOHNSON MD

Original Issue Date

08/27/2008

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023