ETHAN ALEXANDER JOHNSTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

ETHAN

Middle

ALEXANDER

Last Name

JOHNSTON

Business Name

ETHAN ALEXANDER JOHNSTON MD

Original Issue Date

07/17/2025

Effective Date

07/17/2025

Expiration Date

07/31/2026

City

KANSAS CITY

State

Zip

64108

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2025