BRUCE C JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054769

License Status

NOT RENEWED

Business

First Name

BRUCE C

Last Name

JOHNSON

Suffix

Business Name

BRUCE C JOHNSON MD

Original Issue Date

06/30/1977

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014