NORMAN RICHARD JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

CANCELLED

Business

First Name

NORMAN RICHARD

Last Name

JOHNSON

Suffix

Business Name

NORMAN RICHARD JOHNSON MD

Original Issue Date

07/01/1985

Effective Date

07/01/1985

Expiration Date

07/31/1990

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020