MARK L JOHNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068039

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

JOHNSON

Suffix

Business Name

MARK L JOHNSON MD

Original Issue Date

12/01/1983

Effective Date

12/01/1983

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006