NORMAN RICHARD JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

NORMAN RICHARD

Last Name

JOHNSON

Suffix

Business Name

NORMAN RICHARD JOHNSON MD

Original Issue Date

01/01/1997

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023