MATTHEW C JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

Last Name

JOHNSON

Business Name

MATTHEW C JOHNSON MD

Original Issue Date

04/10/2013

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023