STUART BRIAN JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

STUART

Middle

BRIAN

Last Name

JOHNSON

Suffix

Business Name

STUART BRIAN JOHNSON MD

Original Issue Date

10/01/1993

Effective Date

10/01/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020