JASON D 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

JASON

Middle

Last Name

JOHNSON

Suffix

Business Name

JASON D JOHNSON MD

Original Issue Date

09/14/1999

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014