JOHNSON DY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057507

License Status

NOT RENEWED

Business

First Name

JOHNSON

Last Name

Suffix

Business Name

JOHNSON DY MD

Original Issue Date

08/21/1978

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021