JANE K JOHNSTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

CANCELLED

Business

First Name

JANE

Middle

Last Name

JOHNSTON

Suffix

Business Name

JANE K JOHNSTON MD

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

07/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006