RICKY JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

RICKY

Last Name

JOHNSON

Suffix

Business Name

RICKY JOHNSON MD

Original Issue Date

05/28/1987

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023