NIVA LUBIN-JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

NIVA

Last Name

LUBIN-JOHNSON

Suffix

Business Name

NIVA LUBIN-JOHNSON MD

Original Issue Date

04/09/1986

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023