TODD DAVID JOHNSON 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

TODD

Middle

DAVID

Last Name

JOHNSON

Business Name

TODD DAVID JOHNSON MD

Original Issue Date

12/15/2023

Effective Date

12/15/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

08/08/2024