SCOTT H JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

CANCELLED

Business

First Name

SCOTT

Middle

Last Name

JOHNSON

Suffix

Business Name

SCOTT H JOHNSON MD

Original Issue Date

02/14/2005

Effective Date

02/14/2005

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011