JAMES A JOHNSEN 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

JAMES

Middle

Last Name

JOHNSEN

Suffix

Business Name

JAMES A JOHNSEN MD

Original Issue Date

04/17/1986

Effective Date

04/17/1986

Expiration Date

07/31/1993

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020