ANDREW R JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

Last Name

JOHNSON

Business Name

ANDREW R JOHNSON MD

Original Issue Date

08/11/2008

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023