BETH L JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

BETH L

Last Name

JOHNSON

Suffix

Business Name

BETH L JOHNSON MD

Original Issue Date

04/21/1986

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020