MICEAN JANESE JOHNIKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

MICEAN

Middle

JANESE

Last Name

JOHNIKIN

Business Name

MICEAN JANESE JOHNIKIN MD

Original Issue Date

08/06/2014

Effective Date

08/06/2014

Expiration Date

07/31/2017

City

LEXINGTON

State

Zip

40509

County

KENTUCKY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017