SHALINI JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

SHALINI

Last Name

JOHNSON

Suffix

Business Name

SHALINI JOHNSON MD

Original Issue Date

04/26/2011

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014