HAROLD G JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

HAROLD G

Last Name

JOHNSON

Suffix

Business Name

HAROLD G JOHNSON MD

Original Issue Date

04/27/1984

Effective Date

04/27/1984

Expiration Date

07/31/2008

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008