LARRY WAYNE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

LARRY WAYNE

Last Name

JOHNSON

Suffix

Business Name

LARRY WAYNE JOHNSON MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006