MATTHEW S JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

MATTHEW S

Last Name

JOHNSON

Suffix

Business Name

MATTHEW S JOHNSON MD

Original Issue Date

06/24/1991

Effective Date

06/24/1991

Expiration Date

07/31/1993

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006