VINCENT L JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

VINCENT

Middle

Last Name

JOHNSON

Suffix

Business Name

VINCENT L JOHNSON MD

Original Issue Date

10/03/1997

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023