MARILYN F M JOHNSTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

CANCELLED

Business

First Name

MARILYN F

Middle

Last Name

JOHNSTON

Suffix

Business Name

MARILYN F M JOHNSTON MD

Original Issue Date

03/29/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2011