JARED ALAN JOHNSTUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

JARED

Middle

ALAN

Last Name

JOHNSTUN

Business Name

JARED ALAN JOHNSTUN MD

Original Issue Date

06/11/2022

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

COALVILLE

State

Zip

84017

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023