STEPHEN ISAAC JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

ISAAC

Last Name

JOHNSON

Business Name

STEPHEN ISAAC JOHNSON MD

Original Issue Date

08/05/2010

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

HOUGHTON

State

Zip

49931

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021