NICHOLAS T JOHNSON 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

NICHOLAS

Middle

Last Name

JOHNSON

Business Name

NICHOLAS T JOHNSON

Original Issue Date

08/23/2007

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017