NORMAN RICHARD JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

NORMAN RICHARD

Last Name

JOHNSON

Suffix

Business Name

NORMAN RICHARD JOHNSON MD

Original Issue Date

04/20/1983

Effective Date

04/20/1983

Expiration Date

07/31/1987

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020