ROBERT GRAHAM JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

GRAHAM

Last Name

JOHNSON

Suffix

Business Name

ROBERT GRAHAM JOHNSON MD

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011