NICHOLAS BRADFORD JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

BRADFORD

Last Name

JOHNSON

Business Name

NICHOLAS BRADFORD JOHNSON MD

Original Issue Date

09/04/2013

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017