DANIEL S JOHNSON MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

INOPERATIVE

Business

First Name

DANIEL S

Last Name

JOHNSON

Suffix

Business Name

DANIEL S JOHNSON MD

Original Issue Date

10/24/1989

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023