DAVID M JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

JOHNSON

Suffix

Business Name

DAVID M JOHNSON MD

Original Issue Date

07/20/1987

Effective Date

07/20/1987

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020