PHILLIP W JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

PHILLIP W

Last Name

JOHNSON

Suffix

Business Name

PHILLIP W JOHNSON MD

Original Issue Date

09/23/1988

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023