VICTORIA R NICHOLS-JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

Last Name

NICHOLS-JOHNSON

Suffix

Business Name

VICTORIA R NICHOLS-JOHNSON MD

Original Issue Date

01/01/1997

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021