AMY L JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

AMY L

Last Name

JOHNSON

Suffix

Business Name

AMY L JOHNSON MD

Original Issue Date

12/02/1991

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

LENA

State

Zip

61048

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023