LEE ROY W JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

LEE ROY W

Last Name

JOHNSON

Suffix

Business Name

LEE ROY W JOHNSON MD

Original Issue Date

01/11/1989

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023