SAMUEL L JOHNSTON 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

SAMUEL

Middle

Last Name

JOHNSTON

Suffix

Business Name

SAMUEL L JOHNSTON MD

Original Issue Date

07/26/2012

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020