DAVID P JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

DAVID P

Last Name

JOHNSON

Suffix

Business Name

DAVID P JOHNSON MD

Original Issue Date

07/28/1988

Effective Date

07/28/1988

Expiration Date

07/31/1999

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006