LESLIE E JOHNSON 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

LESLIE E

Last Name

JOHNSON

Suffix

Business Name

LESLIE E JOHNSON MD

Original Issue Date

04/13/1983

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023