JONATHAN HART JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

JONATHAN HART

Last Name

JOHNSON

Suffix

Business Name

JONATHAN HART JOHNSON MD

Original Issue Date

12/18/2017

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023