EDWIN LEE JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

LEE

Last Name

JOHNSON

Suffix

Business Name

EDWIN LEE JOHNSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

PRINCETON

State

Zip

61356

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008