GERALD T JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

GERALD T

Last Name

JOHNSON

Suffix

Business Name

GERALD T JOHNSON MD

Original Issue Date

06/08/1989

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

HOFFMAN ESTATES

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014