GORDON O JOHNSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

CANCELLED

Business

First Name

GORDON O

Last Name

JOHNSON

Suffix

Business Name

GORDON O JOHNSON MD

Original Issue Date

01/03/1992

Effective Date

01/03/1992

Expiration Date

07/31/1999

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006