DAVID M JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

JOHNSON

Suffix

Business Name

DAVID M JOHNSON MD

Original Issue Date

03/06/1990

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

MONROE

State

Zip

53566

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017