JOHN THOMAS JOHNSON SR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

THOMAS

Last Name

JOHNSON

Suffix

SR DO

Business Name

JOHN THOMAS JOHNSON SR DO

Original Issue Date

06/16/2003

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014