WILLIAM BECK JOHANSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

BECK

Last Name

JOHANSEN

Business Name

WILLIAM BECK JOHANSEN MD

Original Issue Date

10/05/2023

Effective Date

10/05/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/05/2023