SUSAN CALDECOTT-JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Last Name

CALDECOTT-JOHNSON

Business Name

SUSAN CALDECOTT-JOHNSON MD

Original Issue Date

09/12/2016

Effective Date

07/15/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023