LEE L JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

LEE L

Last Name

JOHNSON

Suffix

Business Name

LEE L JOHNSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011