BERNARD C JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048439

License Status

NOT RENEWED

Business

First Name

BERNARD C

Last Name

JOHNSON

Suffix

Business Name

BERNARD C JOHNSON MD

Original Issue Date

10/06/1973

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

11/01/2017