BENJAMIN RICHARD JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

RICHARD

Last Name

JOHNSON

Business Name

BENJAMIN RICHARD JOHNSON MD

Original Issue Date

07/01/2019

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023