PATRICIA JOHNSTON MCNUSSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

PATRICIA

Last Name

JOHNSTON MCNUSSEN

Suffix

Business Name

PATRICIA JOHNSTON MCNUSSEN MD

Original Issue Date

06/20/1991

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023