MARY JONES JOHNSON - Podiatrist License in Illinois | # 135000512

MARY JONES JOHNSON

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000512

License Status

EXPIRED

Business

N

First Name

MARY

Middle

JONES

Last Name

JOHNSON

Business Name

MARY JONES JOHNSON

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006