JESSICA DANIELLE 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

Title

First Name

JESSICA

Middle

DANIELLE

Last Name

JOHNSON

Business Name

JESSICA DANIELLE JOHNSON MD

Original Issue Date

04/13/2015

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023