JOHNNIE LEE BYRD MD - Medical Doctor License in Illinois | # 125058640

JOHNNIE LEE BYRD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058640

License Status

EXPIRED

Business

N

Title

MD

First Name

JOHNNIE

Middle

LEE

Last Name

BYRD

Business Name

JOHNNIE LEE BYRD MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

07/10/2013

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/07/2013