MATTHEW JOHN JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

JOHN

Last Name

JOHNSON

Business Name

MATTHEW JOHN JOHNSON MD

Original Issue Date

10/21/2019

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

SUAMICO

State

Zip

54313

County

BROWN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023