CHARLES W L JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035195

License Status

NOT RENEWED

Business

First Name

CHARLES W L

Last Name

JOHNSON

Suffix

Business Name

CHARLES W L JOHNSON MD

Original Issue Date

05/29/1958

Effective Date

05/29/1958

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006