MICHAEL R JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

MICHAEL R

Last Name

JOHNSON

Suffix

Business Name

MICHAEL R JOHNSON MD

Original Issue Date

03/17/1994

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023