RON M JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

RON M

Last Name

JOHNSON

Suffix

Business Name

RON M JOHNSON MD

Original Issue Date

06/07/1993

Effective Date

06/07/1993

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006