CLIFFORD B JOHNSON JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

CLIFFORD

Middle

Last Name

JOHNSON

Suffix

JR MD

Business Name

CLIFFORD B JOHNSON JR MD

Original Issue Date

06/22/2000

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023