KIM M JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

KIM

Middle

Last Name

JOHNSON

Suffix

Business Name

KIM M JOHNSON MD

Original Issue Date

06/09/2009

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023