BRADLEY A JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

Last Name

JOHNSON

Suffix

Business Name

BRADLEY A JOHNSON MD

Original Issue Date

04/27/1999

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023