WILLIAM T JOHANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

WILLIAM T

Last Name

JOHANSON

Suffix

Business Name

WILLIAM T JOHANSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

ASHTON

State

Zip

61006

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006