KENNETH CAMERON JOHNSTON 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

KENNETH CAMERON

Last Name

JOHNSTON

Suffix

Business Name

KENNETH CAMERON JOHNSTON MD

Original Issue Date

01/01/1997

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017