JOHNNY LEE WILLIAMSON IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

JOHNNY

Middle

LEE

Last Name

WILLIAMSON

Suffix

Business Name

JOHNNY LEE WILLIAMSON IV MD

Original Issue Date

08/16/1999

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023