MATTHEW EDWARD JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

EDWARD

Last Name

JOHNSON

Business Name

MATTHEW EDWARD JOHNSON MD

Original Issue Date

04/18/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023