LEIGHTON C JOHNSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

LEIGHTON C

Last Name

JOHNSON JR

Suffix

Business Name

LEIGHTON C JOHNSON JR MD

Original Issue Date

08/08/1984

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021