JOHNATHON ALLEN BERRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

JOHNATHON

Middle

ALLEN

Last Name

BERRY

Business Name

JOHNATHON ALLEN BERRY DO

Original Issue Date

03/17/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023