BRIAN ALAN JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

ALAN

Last Name

JOHNSON

Business Name

BRIAN ALAN JOHNSON MD

Original Issue Date

03/05/2018

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

WINAMAC

State

Zip

46204

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023