JONI J ST JOHN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

JONI J

Last Name

ST JOHN

Business Name

JONI J ST JOHN

Original Issue Date

12/15/1995

Effective Date

12/15/1995

Expiration Date

07/31/2008

City

MANVILLE

State

Zip

61319

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020