RANDON CHARLES JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

RANDON

Middle

CHARLES

Last Name

JOHNSON

Business Name

RANDON CHARLES JOHNSON MD

Original Issue Date

05/20/2008

Effective Date

05/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020