KRISTER M JOHANSSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

KRISTER

Middle

Last Name

JOHANSSON

Business Name

KRISTER M JOHANSSON

Original Issue Date

12/14/2000

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023