GARY KEITH JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

GARY

Middle

KEITH

Last Name

JOHNSON

Suffix

Business Name

GARY KEITH JOHNSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020