KATHLEEN JOHNSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065748

License Status

ACTIVE

Business

First Name

KATHLEEN

Last Name

JOHNSON

Suffix

Business Name

KATHLEEN JOHNSON MD

Original Issue Date

12/07/1982

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

06/22/2023