RONALD L JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

RONALD L

Last Name

JOHNSON

Suffix

Business Name

RONALD L JOHNSON MD

Original Issue Date

08/03/1984

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PITTSFIELD

State

Zip

62363

County

PIKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023