ALFRED JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

ALFRED

Last Name

JOHNSON

Suffix

Business Name

ALFRED JOHNSON MD

Original Issue Date

08/03/1993

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023