EBONY N JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

EBONY

Middle

Last Name

JOHNSON

Suffix

Business Name

EBONY N JOHNSON MD

Original Issue Date

06/23/2008

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CRESTWOOD

State

Zip

60418

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023