ROBERT EUGENE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

EUGENE

Last Name

JOHNSON

Suffix

Business Name

ROBERT EUGENE JOHNSON MD

Original Issue Date

12/13/1983

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017