RUSSELL F 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

RUSSELL F

Last Name

JOHNSON

Suffix

Business Name

RUSSELL F JOHNSON MD

Original Issue Date

04/28/2006

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017