KEVIN DARNELL JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

DARNELL

Last Name

JOHNSON

Business Name

KEVIN DARNELL JOHNSON MD

Original Issue Date

06/30/2017

Effective Date

06/06/2024

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024