LINDA MARLENE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

MARLENE

Last Name

JOHNSON

Suffix

Business Name

LINDA MARLENE JOHNSON MD

Original Issue Date

01/04/2002

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017