MARY ANITA JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035035

License Status

NOT RENEWED

Business

First Name

MARY ANITA

Last Name

JOHNSON

Suffix

Business Name

MARY ANITA JOHNSON MD

Original Issue Date

12/04/1957

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021