BRUCE C JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

BRUCE C

Last Name

JOHNSON

Suffix

Business Name

BRUCE C JOHNSON MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1981

City

BOLINGBROOK

State

Zip

60439

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011