VAN 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

VAN

Last Name

JOHNSON

Suffix

Business Name

VAN JOHNSON MD

Original Issue Date

11/24/1986

Effective Date

11/24/1986

Expiration Date

07/31/1990

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006