MATTHEW C JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

Last Name

JOHNSON

Business Name

MATTHEW C JOHNSON MD

Original Issue Date

04/10/2013

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020