VICTORIA J JOHNSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

VICTORIA J

Last Name

JOHNSON

Business Name

VICTORIA J JOHNSON

Original Issue Date

04/13/1994

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023