MATTHEW JOSEPH JOHNSON DPM - Podiatrist License in Illinois | # 135000349

MATTHEW JOSEPH JOHNSON DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000349

License Status

EXPIRED

Business

N

First Name

MATTHEW

Middle

JOSEPH

Last Name

JOHNSON

Suffix

DPM

Business Name

MATTHEW JOSEPH JOHNSON DPM

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

06/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006