AMANDA MARIE KRUS-JOHNSTON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

MARIE

Last Name

KRUS-JOHNSTON

Business Name

AMANDA MARIE KRUS-JOHNSTON DO

Original Issue Date

07/24/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023