KATHRYN QUINN JOHNSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

KATHRYN

Middle

QUINN

Last Name

JOHNSON

Business Name

KATHRYN QUINN JOHNSON DO

Original Issue Date

10/11/2022

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61625

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/11/2023